Patricia Ann McCullough, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW-013007-L Issued in PA

Practice address

215 E Locust St
Clearfield, PA 16830-2422

Phone

(814) 761-1621

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  Medicare reassignment Care Compare group NPD
• Cen Clear Child Services

  • Community Health Clinic/Center
  • Philipsburg, PA
  • NPI 1164952677
  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1356588032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FRENCHVILLE RD",
            "city": "FRENCHVILLE",
            "state": "PA",
            "postal_code": "168368850",
            "telephone_number": "814-761-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LOCUST ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302422",
            "telephone_number": "814-761-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW-013007-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C. Rich Chiropractic LLC
• Katelyn Marie Matthews
• Mature Resources Foundation
• Jenny G Mays, CRNP
• Lamanda McCracken
• Emily McGarvey, MT-BC
• Bridgett Ann McKinney, LPN
• Matthew McKissick, DDS
• Courtney McMurray
• Emily Mescall

• Social Worker in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.