Provider Demographics
NPI:1679320261
Name:CALLAHAN, CRISTINA (MSW)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SASSAFRAS TRL
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-2516
Mailing Address - Country:US
Mailing Address - Phone:401-418-4466
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD RD STE C104
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4127
Practice Address - Country:US
Practice Address - Phone:401-584-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical