Maureen M Callahan, LCSW
Individual provider Active NPI Clinical Social Worker · Roscoe, IL
NPI 1679046809 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1679046809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149023544 (IL)
- Practice address
- 11447 2ND St Ste 9B
Roscoe, IL 61073-9522 - Phone
- (815) 601-4673
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149023544 | IL | MD | Clinical Social Worker |
| 9021-123 | WI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9021-123 | WI | |
| Clinical Social Worker | 1041C0700X | 149023544 | IL | Yes |
Addresses
Primary practice location
11447 2ND St Ste 9B
Roscoe, IL 61073-9522
Mailing address
11447 2ND St Ste 9Aandb
Roscoe, IL 61073-9522
Phone (815) 601-4673
Other providers in Roscoe, IL
- Elizabeth Burke
- Cassidy Buss
- Hailey Callahan
- Kimberly Christine Callahan
- Lindsay Callahan
- Janet Casanova
- Julian S. Chestnut
- Misty Elizabeth Chipalla
- Chiropractic Family Wellness, LLC
- Chiropractic First North PLLC
All providers in Roscoe, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. 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.