Angela Cucullo, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801107951 Issued in MI

Practice address

441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585

Phone

(248) 608-8800

Fax

(248) 608-2490

NPI assigned

Aug 6, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1194499681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MINERS RUN",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064800",
            "telephone_number": "806-340-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 South Blvd W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075184",
            "country_code": "US",
            "telephone_number": "248-844-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUCULLO",
        "first_name": "ANGELA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cernerhealth.com",
            "affiliation": "Y",
            "affiliationName": "Ascension Eastwood Behavioral Health",
            "address_1": "110 South Blvd W Ste 200",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.emedicalnotes.com/",
            "affiliation": "Y",
            "affiliationName": "Rochester Center for Behavioral Medicine",
            "address_1": "441 S Livernois Rd Ste 100",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483072585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crittenton Medical Equipment LLC
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• Crittenton Medical Equipment, LLC
• Michelle Crowder, N.D.
• Amanda Crowl
• Walter Harry Culver, M.D.
• Emily Rose Cunningham, M.A., CCC-SLP
• Sarah Elizabeth Cunningham, RN, NASM-CPT
• Tiffani Curtis
• Kristjan Cutaj, PA

• Clinical Social Worker in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.