Provider Demographics
NPI:1134364672
Name:CALLAHAN, DENIS PATRICK (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:PATRICK
Last Name:CALLAHAN
Suffix:
Gender:M
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PINE STREET EXT UNIT 2S
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3250
Mailing Address - Country:US
Mailing Address - Phone:202-903-6876
Mailing Address - Fax:
Practice Address - Street 1:5 PINE STREET EXT UNIT 2S
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3250
Practice Address - Country:US
Practice Address - Phone:202-903-6876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical