Sara Michelle McCullough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012909 Issued in VA

Practice address

921 First Colonial Rd Ste 1707
Virginia Beach, VA 23454-3167

Phone

(757) 685-4453

NPI assigned

May 4, 2021

Last updated

Aug 23, 2022By the provider in NPPES

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 VA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Mind Psychotherapy PLLC

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1245959410
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1659954956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 RAMSAY CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234649000",
            "telephone_number": "757-663-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD STE 1707",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-685-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SARA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Marie McCroskey, RBT
• Jamie K McCullar, LCSW
• Morgan B McCullen-Deanes
• Kaley McCullen
• Lauren Ashley McCullough, RBT
• Tiara McCurtis
• Cynthia McCusker
• David H McDaniel, M.D., FAAD
• Gary David McDaniel
• Kiah McDaniel, MSW, LMHP-E, CSAC

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.