Carolyn McCullouhg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12479 Issued in TX

Practice address

8500 N Stemmons Fwy Ste 3010I
Dallas, TX 75247-3927

Phone

(214) 432-8296

Fax

(214) 203-0803

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Another Chancee, Inc.

  dba Another Chancee Case Management Agency

  • Case Manager/Care Coordinator
  • Dallas, TX
  • NPI 1275846388

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1265785117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N STEMMONS FWY STE 3010I",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473927",
            "telephone_number": "214-432-8296",
            "fax_number": "214-203-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N STEMMONS FWY STE 3010I",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473927",
            "telephone_number": "214-432-8296",
            "fax_number": "214-203-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUHG",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "12479",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "12479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee McCullough, MD
• Pamela McCullough, RD, LD
• Peter Andrew McCullough, MD, MPH
• Rachel McCullough, MS
• Vernon R. McCullough, CRNA
• Caleb McCullum
• Levette McCullum
• Amy McCurdy, APRN
• Shakaela Monae McCurdy, CD
• Ian Joseph McCurry, MD

• Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.