ELLEN FITZGERALD-MCCALLUM LICSW
NPI 1104149616
Social Worker - Clinical in Johnston, RI

Q: What is Ellen Fitzgerald-mccallum's NPI number?

The NPI number for Ellen Fitzgerald-mccallum is 1104149616. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Q: What is Ellen Fitzgerald-mccallum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 11, 2010

1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100(401) 861-8696 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ellen Fitzgerald-mccallum Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN FITZGERALD-MCCALLUM LICSW (NPI 1104149616) is an individual clinical provider in Johnston, Rhode Island, licensed in Rhode Island (ISW02290) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1104149616

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELLEN FITZGERALD-MCCALLUMCredential: LICSW

Location Address1443 HARTFORD AVEJohnston, RI 02919-3224

Mailing Address1443 Hartford AveJohnston, RI 02919-3224 · (401) 273-8100 · Fax (401) 861-8696

Phone(401) 273-8100

Fax(401) 861-8696

Sole ProprietorYes

Enumeration DateMarch 11, 2010

Last NPPES UpdateFebruary 19, 2013

✔ NPI 1104149616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in RI · ISW02290

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1443 HARTFORD AVE, Johnston, RI 02919

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Other Identifiers 1

MedicaidGH57134RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANTANNA ROCHA J.D., M.S.W., LCSW

Social Worker (Clinical)