Betsy Nicholson Callahan, DSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1314123501 Issued in UT

Practice address

Lifeskills Support Ctr
Hill Air Force Base
Hill AFB, UT 84056

Phone

(801) 777-7909

Fax

(801) 777-4490

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Katherine Elizabeth Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609986496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 E HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242606",
            "telephone_number": "801-272-3584",
            "fax_number": "801-272-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIFESKILLS SUPPORT CTR",
            "address_2": "HILL AIR FORCE BASE",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "84056",
            "telephone_number": "801-777-7909",
            "fax_number": "801-777-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "BETSY",
        "middle_name": "NICHOLSON",
        "name_prefix": "Dr.",
        "credential": "DSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1314123501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW DIV OF OCC. PROF LIC",
            "identifier": "1314123501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NICHOLSON",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert John Boulier III, PHARMD
• Julie A Bowman, PT, DPT, OCS
• Michelle Renee Brown, M.D.
• Daniel D Buhler, PA
• Eryn Amalia Caamano Stansfield, M.D., MOH
• Shelley Denise Cameron, MPT
• Vaughn Alan Cavender, IDMT
• Stephen Jackson Chambers, IDMT
• Andrew Jay Christensen, DO
• Deborah Ann Ciesla, IDMT

• Clinical Social Worker in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Clinical Social Worker in Utah

• 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.

Verify at the official NPI Registry.