1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Social Worker
  6. NPI Profile

KELLY LYNN CALLAHAN
NPI 1629794755
Social Worker - Clinical in Charlotte, NC

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269(704) 360-3637 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Oct 19, 2022 (2 updates tracked since 2022).

About Kelly Lynn Callahan NPPES

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

KELLY LYNN CALLAHAN (NPI 1629794755) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C015249) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629794755
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LYNN CALLAHAN
Location Address10430 HARRIS OAK BLVD STE LCharlotte, NC 28269-7513
Mailing Address3206 Ashwell Oaks LnMatthews, NC 28105-1213 · (904) 614-5780
Phone(704) 360-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 19, 2022
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1629794755 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 NC · C015249
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.
10430 HARRIS OAK BLVD STE L, Charlotte, NC 28269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lynn Callahan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123496486
PECOS Enrollment IDI20221118000080
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 28269 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 16

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

MRS. CELENA NICOLE SHIVERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 317-2930
KIMBERLY LYNN CHILDRESS MA, LPC, LCMHCS
Counselor (Mental Health)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 360-3637
FAITH TODD ALLMAN MSW, LCSW
Social Worker (Clinical)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 317-2930
ASHLYN NICOLE VINSON LCMHC, LCAS, NCC
Counselor (Mental Health)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 360-3637
LESLIE DIANE STOVER
Social Worker (Clinical)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 317-2930
SAMUEL MITCHELL ROSEN MSW, LCSW
Social Worker (Clinical)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 360-3637
LAQUETTA EVANS LCSW
Social Worker (Clinical)
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 360-3637
AMANI DAVIS
Psychologist
10430 HARRIS OAK BLVD STE L
CHARLOTTE, NC 28269
Mecklenburg County (704) 360-3637

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 Kelly Callahan's NPI number?

The NPI number for Kelly Callahan is 1629794755. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Kelly Callahan located?

Kelly Callahan practices at 10430 Harris Oak Blvd Ste L, Charlotte, NC 28269. The listed phone number is (704) 360-3637.

What is Kelly Callahan's specialty?

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

Is Kelly Callahan enrolled in Medicare?

Yes. Kelly Callahan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Callahan accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Callahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Callahan was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.