Charles Manuel Callejo III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100694 Issued in NY

Practice address

160 Fairview Ave Ste 99
Hudson, NY 12534-8404

Phone

(518) 245-6272

Fax

(518) 721-8343

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Clearwater Counseling Associates LCSW, PLLC

  • Community/Behavioral Health Agency
  • Hyde Park, NY
  • NPI 1700236775
  Medicare reassignment NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1376429936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 JOSLEN BLVD APT 117B",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341035",
            "telephone_number": "845-616-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FAIRVIEW AVE STE 99",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125348404",
            "telephone_number": "518-245-6272",
            "fax_number": "518-721-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJO",
        "first_name": "CHARLES",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Byrnes, N.P.
• Jessica Byrnes, CCC/SLP
• John Peter Cahill
• John Cali
• Amanda Callanan, PA
• Camphill Hudson Inc.
• Nicholas Michael Canonica, PHARMD, RPH
• Capital Area Hudson Valley Ny Dental, PC
• Anna Kathleen Carnahan, PTA
• Richard Carpentier

• Clinical Social Worker in Hudson, NY
• Providers in Hudson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.