Individual provider Active NPI

Callan Barrett, MSW, LICSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1508878299
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
60407922 Issued in WA
Practice address
1321 Grandview Dr
Champaign, IL 61820-6824
Phone
(217) 688-1357
Fax
(217) 771-1656
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149025799 IL
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-88149 MT
Clinical Social Worker 1041C0700X 60407922 WA Primary
Clinical Social Worker 1041C0700X 1189 CO

Addresses

Primary practice location

1321 Grandview Dr
Champaign, IL 61820-6824

Mailing address

1321 Grandview Dr
Champaign, IL 61820-6824
Phone (217) 688-1357

Other practice location 1

100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (217) 688-1357

Other identifiers 1

IdentifierTypeStateIssuer
1005365OtherMANETWORK HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150929003230 WA Practitioner - Clinical Social Worker 7113003153 Reassigns benefits to 1 organization
Practice locations: Freeland, WA
I20260626000414 IL Practitioner - Clinical Social Worker 7113003153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1189COMDClinical Psychologist
149025799ILMDClinical Social Worker
BBH-LCSW-LIC-88149MTMDClinical Social Worker
60407922WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Callan Barrett Licsw Clinical Current Accepting new patients
Mindful Therapy Group PC Clinical CurrentSince Aug 17, 2023 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1508878299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GRANDVIEW DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206824",
            "telephone_number": "217-688-1357",
            "fax_number": "217-771-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GRANDVIEW DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206824",
            "telephone_number": "217-688-1357",
            "fax_number": "217-771-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste R",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "217-688-1357",
            "fax_number": "217-771-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "CALLAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025799",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-88149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60407922",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "1005365",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.