Active NPI
Janet Catherine Callahan, LISW
- Clinical Social Worker
- Dubuque, IA
National Provider Identifier
1528047198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00980
- Practice address
- 700 Locust St
Suite 718
Dubuque, IA 52001-6838 - Phone
- (563) 580-4366
- Fax
- (563) 584-2321
- NPI assigned
- Jan 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 00980 | IA | Primary |
Addresses
Primary practice location
700 Locust St
Suite 718
Dubuque, IA 52001-6838
Mailing address
700 Locust St
Suite 718
Dubuque, IA 52001-6838
Phone (563) 580-4366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48746 | Other | IA | WELLMARK BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00980 | IA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kishore Thampy, M.D.,S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528047198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LOCUST ST",
"address_2": "SUITE 718",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016838",
"telephone_number": "563-580-4366",
"fax_number": "563-584-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LOCUST ST",
"address_2": "SUITE 718",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016838",
"telephone_number": "563-580-4366",
"fax_number": "563-584-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JANET",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "48746",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.