Individual ProviderKerry J CallahanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address174 Grand Ave, Englewood, NJ 07631-3585(201) 370-2289PECOS EnrollmentThis provider is enrolled in PECOS as KERRY CALLAHAN.Based on the most recent information from CMS, provider Kerry J Callahan is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:34 AM.Profile DetailsProvider ID1942522792Provider TypeIndividualFull NameCallahan, Kerry JCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/22/2010Last Updated2/22/2012Contact InformationPractice LocationPractice Address174 Grand Ave, Englewood, NJ 07631-3585Phone(201) 370-2289FaxUnlisted FaxMailing LocationMailing Address174 Grand Ave, Englewood, NJ 07631-3585Phone(201) 370-2289FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC05382600New Jersey