COLLEEN CALLAHAN (LCSW) – Clinical Social Worker, NPI 1689991234

COLLEEN CALLAHAN (LCSW) is a healthcare provider. based in Merritt island, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW9814 (FL). The NPI Number for COLLEEN CALLAHAN (LCSW) is 1689991234

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN CALLAHAN (LCSW)
NPI
1689991234
Phone
(321) 652-8662
Address
PO BOX 540282
Enumeration Date
22 April 2010
Last Update Date
16 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5166406937
Graduation Year
1999 (27 years ago)
PAC ID
4183754005
Group Practice PAC ID
7911212634
Professional Enrollment ID
I20100618000570
Address ID
FL349722568OK308XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for COLLEEN CALLAHAN (LCSW)

  • PO BOX 540282

    MERRITT ISLAND, FL 329540282

    Phone: (321) 652-8662

    Type: Mailing

  • PO BOX 1953

    TITUSVILLE, FL 327811953

    Phone: (321) 431-1101

    Type: Mailing

  • 1338 LENORA DR

    MERRITT ISLAND, FL 329525156

    Phone: (321) 652-8662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100618000570IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32954)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911212634View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Mental Health CounselorFL
P S Y C H I A T R YFL
Nurse PractitionerMN

Reviews

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Frequently asked questions

Where can patients find COLLEEN CALLAHAN (LCSW)'s NPI?
You can confirm COLLEEN CALLAHAN (LCSW) with NPI 1689991234; it appears in the national provider directory.
Is COLLEEN CALLAHAN (LCSW) active in the national directory?
COLLEEN CALLAHAN (LCSW)'s public NPI profile is in an active state.
What kind of provider is COLLEEN CALLAHAN (LCSW)?
The page reflects Clinical Social Worker for COLLEEN CALLAHAN (LCSW). Clinical services aligned with this taxonomy classification.
Where is COLLEEN CALLAHAN (LCSW)'s primary listing?
We display Merritt Island, Florida because that is what the record indicates for COLLEEN CALLAHAN (LCSW).
What if Merritt Island, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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