Provider Demographics
NPI:1942547484
Name:CALLAHAN, DANIELLE M (LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:BEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1150 LANCASTER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4495
Mailing Address - Country:US
Mailing Address - Phone:717-691-1090
Mailing Address - Fax:866-691-1511
Practice Address - Street 1:1150 LANCASTER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4495
Practice Address - Country:US
Practice Address - Phone:717-691-1090
Practice Address - Fax:866-691-1511
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0182411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA369231FDBOtherMEDICARE