Jeffrey R Cullers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016065 Issued in PA

Practice address

41491 Route 6
Columbus, PA 16405-2805

Phone

(814) 440-4526

NPI assigned

Sep 18, 2008

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chautauqua County Chapter of Nysarc Inc

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1770972036

  NY

  Medicare reassignment NPD
• Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1982682639
  NPD
• Chautauqua County Chapter of Nysarc Inc

  • Long Term Care Pharmacy
  • Jamestown, NY
  • NPI 1427095892
  NPD

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2019.

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1104075720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41491 ROUTE 6",
            "city": "COLUMBUS",
            "state": "PA",
            "postal_code": "164052805",
            "telephone_number": "814-440-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41491 ROUTE 6",
            "city": "COLUMBUS",
            "state": "PA",
            "postal_code": "164052805",
            "telephone_number": "814-440-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Dunham Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012528",
            "country_code": "US",
            "telephone_number": "716-485-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLERS",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087495",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "087495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Munsee
• James Edward Williams, PTA

• All providers in Columbus, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.