Individual provider Active NPI

Bobbe Jean Cullers, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1508940289
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW012468 Issued in PA
Practice address
809 W 26TH St Ste 1
Erie, PA 16508-3205
Phone
(814) 461-1192
Fax
(814) 461-0235
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW012468 PA Primary

Addresses

Primary practice location

809 W 26TH St Ste 1
Erie, PA 16508-3205

Mailing address

809 West 26TH
Suite 1
Erie, PA 16508
Phone (814) 461-1192

Other identifiers 1

IdentifierTypeStateIssuer
1021152520001MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130614000395 PA Practitioner - Clinical Social Worker 3577643279 Practice locations: Corry, PA; Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 N Ctr St
Corry, PA 16407-1625
Phone (814) 461-1192

809 W 26TH St
Erie, PA 16508-3205
Phone (814) 461-1192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW012468PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cullers Family Therapy, LLC Clinical Past Accepting new patients
Sarah Bickel Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508940289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WEST 26TH",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-461-1192",
            "fax_number": "814-461-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W 26TH ST STE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083205",
            "telephone_number": "814-461-1192",
            "fax_number": "814-461-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLERS",
        "first_name": "BOBBE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW012468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021152520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.