Active NPI
Daniel Callan, LICSW
- Clinical Social Worker
- Westfield, MA
National Provider Identifier
1386767283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 77 Mill St
Suite 251
Westfield, MA 01085-4598 - Phone
- (413) 568-6141
- NPI assigned
- Apr 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
77 Mill St
Suite 251
Westfield, MA 01085-4598
Mailing address
143 Colony Dr
Westfield, MA 01085-4829
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300010 | Other | MA | MBHP |
| 1300881 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822000756 | MA | Practitioner - Clinical Social Worker | 1759312549 | Practice locations: Westfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Court St
Westfield, MA 01085-3471
Phone (413) 552-9199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Noble Hospital | Past | Accepting new patients | |
| Carson Center for Human Services, Inc. | Past | Accepting new patients | |
| The Carson Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Westfield, MA
- NPI 1457385460
-
- Public Health or Welfare Agency
- Westfield, MA
- NPI 1215975842
-
- Prescribing (Medical) Psychologist
- Westfield, MA
- NPI 1689892077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386767283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 COLONY DR",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MILL ST",
"address_2": "SUITE 251",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010854598",
"telephone_number": "413-568-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAN",
"first_name": "DANIEL",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "0300010",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300881",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.