Robert McCullough, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005292 Issued in MO

Practice address

209 Black Oak Dr
Saint Peters, MO 63376-1740

Phone

(636) 219-6200

Fax

(800) 848-5681

NPI assigned

Apr 4, 2008

Last updated

Apr 4, 2008By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1790958304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BLACK OAK DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761740",
            "telephone_number": "636-219-6200",
            "fax_number": "800-848-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BLACK OAK DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761740",
            "telephone_number": "636-219-6200",
            "fax_number": "800-848-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McClay Health and Rehab LLC (McClay Senior Care)
• Ashley N McCool, DC
• Megan McCormick, DPT
• Patricia L McCoy Feldmanis, PHD, LPC
• Matthew K McCoy, OD
• Julie M McDaniel, CRNA
• Valerie W McDevitt, LPC
• Charles B McDonnell, PT, CHT
• Kirk Daniel McElheny, DDS
• Samara Epps McElroy, DO

• Clinical Social Worker in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.