Kim Callahan
Social Worker, Clinical in Bethpage, NY. Individual provider (NPI-1).
NPI number1982254926
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1982254926
- Entity type
- Individual (NPI-1)
- Name
- Kim Callahan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2019
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 094723 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
71 Elizabeth DrBethpage, NY 11714-6434
Phone 516-353-3537
Mailing address
71 Elizabeth DrBethpage, NY 11714-6434
Phone 516-353-3537
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