Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Manuel Callejo III, LCSW

Individual provider Clinical Social Worker · NPI 1376429936

Mr. Charles Manuel Callejo III, LCSW is a Clinical Social Worker in Hudson, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

160 Fairview Ave Ste 99
Hudson, NY 12534-8404
Phone: (518) 245-6272
Fax: (518) 721-8343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100694 (NY)

Record details

NPI number1376429936
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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