Individual provider Active NPI

Janet M McCulloch, MSW, LCSW

  • Clinical Social Worker
  • Lawrenceville, NJ
National Provider Identifier
1649923301
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05795900 Issued in NJ
Practice address
22 Gordon Ave
Lawrenceville, NJ 08648-1033
Phone
(609) 844-0452
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 44SC05795900 NJ Primary

Addresses

Primary practice location

22 Gordon Ave
Lawrenceville, NJ 08648-1033

Mailing address

PO Box 6573
Lawrenceville, NJ 08648-0573
Phone (609) 844-0452

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lawrenceville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220310000221 NJ Practitioner - Clinical Social Worker 0749675791 Practice locations: Lawrenceville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Gordon Ave
Lawrenceville, NJ 08648-1033
Phone (609) 844-0452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05795900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1649923301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6573",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086480573",
            "telephone_number": "609-844-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GORDON AVE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481033",
            "telephone_number": "609-844-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "JANET",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05795900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lawrenceville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22 Gordon Ave",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086481033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.