Charlotte Ellen Cally, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801107484 Issued in MI

Practice address

220 Collingwood St Ste 130
Ann Arbor, MI 48103-3842

Phone

(734) 786-2626

Fax

(734) 997-5015

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pietruck Therapy Services PLLC

  • Social Worker
  • Ann Arbor, MI
  • NPI 1932634219

  Clinical

  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1750910907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 VILLAGE GREEN BLVD APT 108",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053630",
            "telephone_number": "517-881-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 130",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-786-2626",
            "fax_number": "734-997-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLY",
        "first_name": "CHARLOTTE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotte.cally@pietrucktherapy.com",
            "affiliation": "N",
            "address_1": "2100 S Main St Ste B",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481036432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Callaway, M.S., CCC
• Lisa S Callihan de Vries, LCC
• Hannah Callison, LLPC
• Stephanie A.R. Callison, M.D.
• Louise Callow, NP
• Nadia Charday Calvert
• Rebecca Anne Calvert, CPNP
• Siera Calzado
• Georgina Camacho Gonzalez
• Shasha Maria Camaj, PH.D.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.