Provider Demographics
NPI:1174766232
Name:CALLAHAN, CAROLYN THERESA (LSW, CEAP, ACSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:THERESA
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:LSW, CEAP, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CEDAR RIDGE DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9691
Mailing Address - Country:US
Mailing Address - Phone:412-921-7000
Mailing Address - Fax:412-921-7261
Practice Address - Street 1:200 CEDAR RIDGE DR
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9691
Practice Address - Country:US
Practice Address - Phone:412-921-7000
Practice Address - Fax:412-921-7261
Is Sole Proprietor?:No
Enumeration Date:2009-04-19
Last Update Date:2009-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW002387E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker