Corey Calloway L Corey Calloway
Individual provider Active NPI Community/Behavioral Health Agency · Washington, DC
NPI 1407710874 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1407710874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1818 New York Ave NE Ste 201
Washington, DC 20002-1849 - Phone
- (202) 506-5187
- NPI assigned
- Dec 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1818 New York Ave NE Ste 201
Washington, DC 20002-1849
Mailing address
1007 Rachel LN SW
Vienna, VA 22180-6473
Phone (803) 470-8350
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All providers in Washington, DC · Community/Behavioral Health Agency in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.