Allyn Nichole McCullough, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801191 Issued in OH

Practice address

624 Gibbs Ave
Washington Court House, OH 43160-1558

Phone

(614) 226-4875

NPI assigned

Apr 23, 2022

Last updated

Oct 7, 2025By 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 1

Addresses

Other names 1

• Allyn N Miller Former name

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.

• Alianza Mental Health & Wellness LLC

  • Clinical Social Worker
  • Washington Court House, OH
  • NPI 1578430575
  NPD Authorized official
• Allyn's Christian Counseling & Consultation L.L.C.

  • Clinical Social Worker
  • Washington Court House, OH
  • NPI 1174496368
  NPD Authorized official

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1295479582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 GIBBS AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601558",
            "telephone_number": "614-226-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 GIBBS AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601558",
            "telephone_number": "614-226-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ALLYN",
        "middle_name": "NICHOLE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYN",
            "last_name": "MILLER",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rindy L Matthews, DC
• Roman Adam Matthews, DC
• Lynn Ann Maust, RN
• Wilma Jean McBride
• James J. McCracken, DC
• Stephanie M McDonald, O.D.
• Kristin Sue McDougall, OPTOMETRIST
• Michael Shane McFerren, SOLE PROPRIETOR
• Haven McKenna Dale McGraw
• Marriah Brooke McGraw

• Clinical Social Worker in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.