Mary Elizabeth Callahan, LMSW-ASP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S07946 Issued in TX

Practice address

3604 Live Oak St
Dallas, TX 75204-6168

Phone

(214) 358-2300

Fax

(214) 579-6985

NPI assigned

Aug 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1760596027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 LIVE OAK ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046168",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LMSW-ASP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S07946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "07946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Brooks Callahan, AC-PNP
• Amanda Ballew Callahan, MSN, RN
• Jamie Patrice Callahan, PA
• Jena L Callahan, RBT
• Kyle Callahan, PA-C
• Patricia Marie Callahan
• Alexandra Kathleen Callan, M.D.
• Mary Stoneham Callarman, SLP
• Greydon Blair Callaway, PT, DPT
• Heriberto Jose Callejas, M.D.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.