Active NPI
Kelsey Callahan
- Clinical Social Worker
- Natick, MA
National Provider Identifier
1407282957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 220551
- Practice address
- 27 Winter St
Natick, MA 01760-1099 - Phone
- (206) 947-3269
- NPI assigned
- Sep 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 220551 | MA | Primary |
Addresses
Primary practice location
27 Winter St
Natick, MA 01760-1099
Mailing address
78 E Bare Hill Rd
Harvard, MA 01451-1848
Phone (206) 947-3269
Other practice location 1
9706 4th Ave NE
Sound Mental Health - Northgate
Seattle, WA 98115-2157
Phone (206) 302-2900
Other practice location 2
78 E Bare Hill Rd
Harvard, MA 01451-1848
Phone (206) 947-3269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220551 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1407282957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 E BARE HILL RD",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511848",
"telephone_number": "206-947-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WINTER ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017601099",
"telephone_number": "206-947-3269"
}
],
"practiceLocations": [
{
"address_1": "9706 4th Ave NE",
"address_2": "Sound Mental Health - Northgate",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981152157",
"country_code": "US",
"telephone_number": "206-302-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "78 E Bare Hill Rd",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "MA",
"postal_code": "014511848",
"country_code": "US",
"telephone_number": "206-947-3269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "220551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.