Provider Demographics
NPI:1144321282
Name:HARRINGTON, CALLA (LICSW)
Entity type:Individual
Prefix:MS
First Name:CALLA
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1986 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01128-1245
Mailing Address - Country:US
Mailing Address - Phone:413-525-7522
Mailing Address - Fax:
Practice Address - Street 1:1502 ALLEN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1817
Practice Address - Country:US
Practice Address - Phone:413-525-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA140111345MA02OtherANTHEM
MA35133OtherHEALTH NEW ENGLAND
MA247635OtherMAGELLAN
MDP08180OtherBLUECROSS/BLUESHIELD
MA470009OtherTUFTS