Kecia L McCullough LCSW Psychotherapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KECIA L MCCULLOUGH LCSW PSYCHOTHERAPY SERVICES PLLC

Practice address

45 Gilmore St
Rochester, NY 14605-1309

Phone

(585) 233-9794

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kecia Lee McCullough, LCSWNPI 1285037606

Title

Clinical Therapist

Phone

(585) 233-9794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kecia Lee McCullough, CASAC MASTERS, LMSW

  • Clinical Social Worker
  • Orchard Park, NY
  • NPI 1285037606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1497579874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GILMORE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051309",
            "telephone_number": "585-233-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GILMORE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051309",
            "telephone_number": "585-233-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KECIA L MCCULLOUGH LCSW PSYCHOTHERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "KECIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "585-233-9794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret H Kearney
• Sincerray Kearse
• Sarah Bowie Keaton, LMSW
• Mary Alice Keator, M.S., L.AC, CNC
• Kasaye Ejigu Kebede, PHARMD
• Lizbeth Kecskemety, PT
• Baqir Jamal Kedwai
• Anne Scherberger Keefer, RN NP
• Crystal Lynn Keefer, LCSW
• Michael Keefer, MD

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.