Catherine E. Callender, L.C.S.W.
Individual provider Active NPI Social Worker · Clinton, MS
NPI 1821092404 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1821092404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- C3503 (MS)
- Practice address
- 134 Fairmont St
Ste. E
Clinton, MS 39056-4739 - Phone
- (601) 925-8194
- Fax
- (601) 925-8196
- NPI assigned
- Jun 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| C3503 | MS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cac Therapy Group, LLC | Current | Accepting new patients | |
| Preferred PHP LLC | Past |
Accepting new patients | |
| Catherine Callender LLC | Social Worker | Past | Accepting new patients |
Locations
1016 Industrial Park Dr
Clinton, MS 39056
Phone (601) 383-2998
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | C3503 | MS | Yes |
Addresses
Primary practice location
134 Fairmont St
Ste. E
Clinton, MS 39056-4739
Mailing address
134 Fairmont St
Ste. E
Clinton, MS 39056-4739
Phone (601) 925-8194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123406 | Medicaid | MS |
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. 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.