Individual provider · Type 1 NPI

Charles Manuel Callejo Iii, LCSW

Clinical Social Worker · Hudson, NY

NPI number 1376429936 Active

Practice location

160 Fairview Ave Ste 99
Hudson, NY 12534-8404

Call (518) 245-6272 Map

Fax (518) 721-8343

Mailing address

540 Joslen Blvd Apt 117B
Hudson, NY 12534-1035

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100694 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1376429936

Charles Manuel Callejo Iii, LCSW's National Provider Identifier is 1376429936, issued on Aug 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hudson, NY. The record was last updated on Aug 11, 2025.