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MR. CHARLES MANUEL CALLEJO III LCSW
NPI 1376429936
Social Worker - Clinical in Hudson, NY

Active since August 11, 2025PECOS Enrolled
160 FAIRVIEW AVE STE 99, HUDSON, NY 12534(518) 245-6272(518) 721-8343 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Charles Manuel Callejo Iii Lcsw NPPES

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

MR. CHARLES MANUEL CALLEJO III LCSW (NPI 1376429936) is an individual clinical provider in Hudson, New York, licensed in New York (100694) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376429936
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES MANUEL CALLEJO IIICredential: LCSW
Location Address160 FAIRVIEW AVE STE 99Hudson, NY 12534-8404
Mailing Address540 Joslen Blvd Apt 117bHudson, NY 12534-1035 · (845) 616-2431
Phone(518) 245-6272
Fax(518) 721-8343
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1376429936 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 NY · 100694
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.
160 FAIRVIEW AVE STE 99, Hudson, NY 12534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Manuel Callejo Iii Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779088828
PECOS Enrollment IDI20250929000284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JULIANA MARIE BERNIER LMSW
Social Worker
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 245-6272
KIMBERLY LATEISHA GRIFFIN-SIMMONDS
Social Worker
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 965-7407
MICHAEL GALIPEAU LMSW
Social Worker (Clinical)
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 245-6272
CATHARINE L. TYLER
Social Worker (Clinical)
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 245-6272
KATIE SCARLETT VAN VALKENBURGH
Counselor (Mental Health)
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 245-6272
MRS. KAMERON DECKER
Social Worker
160 FAIRVIEW AVE STE 99
HUDSON, NY 12534
Columbia County (518) 245-6272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Callejo's NPI number?

The NPI number for Charles Callejo is 1376429936. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Charles Callejo located?

Charles Callejo practices at 160 Fairview Ave Ste 99, Hudson, NY 12534. The listed phone number is (518) 245-6272.

What is Charles Callejo's specialty?

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

Is Charles Callejo enrolled in Medicare?

Yes. Charles Callejo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Callejo was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.