Individual provider Active NPI

Susan Callahan, MSW, LICSW

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1932779683
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00945105 Issued in WV
Practice address
1020 Winchester Ave
Martinsburg, WV 25401-1650
Phone
(304) 886-4118
Fax
(304) 579-8606
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00945105 WV Primary

Addresses

Primary practice location

1020 Winchester Ave
Martinsburg, WV 25401-1650

Mailing address

PO Box 1074
Martinsburg, WV 25402-1074
Phone (304) 886-4118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Scallahan@callahancounselingservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DP00945105WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Callahan Counseling CurrentSince Nov 24, 2024 Accepting new patients
Peter J. Callahan, PLLC Clinical CurrentSince Jun 27, 2021 Accepting new patients

Locations

1020 Winchester Ave
Martinsburg, WV 25401
Phone (304) 579-8606

Interoperability endpoints

  • Direct secure messaging: scallahan@callahancounselingservices.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1932779683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1074",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021074",
            "telephone_number": "304-886-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WINCHESTER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011650",
            "telephone_number": "304-886-4118",
            "fax_number": "304-579-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "SUSAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Scallahan@callahancounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 Winchester Ave",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254011650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.