Magan Anne Callaway, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22605 Issued in MN

Practice address

7401 Metro Blvd Ste 250
Edina, MN 55439-3062

Phone

(612) 447-0947

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Magan Anne Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affinity Psychological Services, P.C.

  • Mental Health Counselor
  • Edina, MN
  • NPI 1245610856
  NPD
• Tru Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gilbert, AZ
  • NPI 1386016822
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1346780939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 7TH AVE E",
            "address_2": "SUITE 302",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551093083",
            "telephone_number": "651-633-7300",
            "fax_number": "651-633-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 250",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393062",
            "telephone_number": "612-447-0947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14525 Highway 7 Ste 250",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553453748",
            "country_code": "US",
            "telephone_number": "612-274-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "MAGAN",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGAN",
            "last_name": "OLSON",
            "middle_name": "ANNE",
            "credential": "DENNIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Calixte, MD
• William Call, MD
• William A Callahan
• Jason Callanan, MSW
• Edward Charles Callaway, M.D.
• Lauren Callis, LPCC, ATR
• Jose Miguel Calvo, C.R.N.A
• Stephanie Nicole Cameron
• Emily Lauren Camp, PT, DPT
• Nicole Campbell, MSW, LICSW

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.