Active NPI
Katherine Leonard Callahan, LCSW-C
- Clinical Social Worker
- Easton, MD
National Provider Identifier
1598852212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07050
- Practice address
- 8614 Ocean Gtwy
Ste 4
Easton, MD 21601-7217 - Phone
- (410) 690-8181
- Fax
- (410) 690-8181
- NPI assigned
- Oct 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07050 | MD | Primary |
Addresses
Primary practice location
8614 Ocean Gtwy
Ste 4
Easton, MD 21601-7217
Mailing address
29315 Erickson Dr
Easton, MD 21601-8651
Phone (410) 690-8181
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517251 | Other | UNITED HEALTH CARE MAMSI | |
| 517251 | Other | UHC MAMSI GROUP | |
| 609550002 | Medicaid | MD | |
| LM49EA | Other | MD | CAREFIRST BCBS GROUP |
| 259147000 | Other | MD | MAGELLAN GROUP |
| 522555502 | Other | MD | CAREFIRST BCBS PIN |
| 724337 | Other | NCPPO PIN | |
| 003953 | Other | VALUE OPTIONS | |
| 100062229001 | Other | AMERICAN PSYCH SYSTEM | |
| 6296784 | Other | UNITED BEHAVIORAL HEALTH | |
| R968 | Other | DC | CAREFIRST FEDERAL GROUP |
| 0012 | Other | DC | CAREFIRST FEDERAL PIN |
| 461837000 | Other | MD | MAGELLAN PIN |
Other names 1
- Mrs. Kathy Leonard Callahan
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 |
|---|---|---|---|
| 07050 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Psychological Service | Past | Accepting new patients | |
| Eastern Shore Psychological Service, LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salisbury, MD
- NPI 1548348402
-
- Community/Behavioral Health Agency
- Princess Anne, MD
- NPI 1730252537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1598852212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29315 ERICKSON DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216018651",
"telephone_number": "410-690-8181",
"fax_number": "410-690-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 OCEAN GTWY",
"address_2": "STE 4",
"city": "EASTON",
"state": "MD",
"postal_code": "216017217",
"telephone_number": "410-690-8181",
"fax_number": "410-690-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KATHERINE",
"middle_name": "LEONARD",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "07050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE MAMSI",
"identifier": "517251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MAMSI GROUP",
"identifier": "517251",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS GROUP",
"identifier": "LM49EA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP",
"identifier": "259147000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS PIN",
"identifier": "522555502",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO PIN",
"identifier": "724337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "003953",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCH SYSTEM",
"identifier": "100062229001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6296784",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL GROUP",
"identifier": "R968",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL PIN",
"identifier": "0012",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PIN",
"identifier": "461837000",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "CALLAHAN",
"middle_name": "LEONARD",
"prefix": "MRS.",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.