Alyssa McCullough
Individual provider Active NPI Clinical Social Worker · Fircrest, WA
NPI 1184497463 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1184497463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1037 Greenway Ave
Fircrest, WA 98466-5933 - Phone
- (253) 282-0781
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1037 Greenway Ave
Fircrest, WA 98466-5933
Mailing address
1037 Greenway Ave
Fircrest, WA 98466-5933
Phone (253) 282-0781
Other providers in Fircrest, WA
- April Lorraine Luman
- Lawrence V. Majovski
- Ariana Jonelle Martinez
- Payton Rain Matherly
- Katherine A McCaffree
- Michelle Jaquish
- Leila N Miller
- Elsbeth D. Moody
- Mooring Counseling and Consulting, PLLC
- MVP Physical Therapy, Inc.
All providers in Fircrest, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.