William McCullough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001521 Issued in NC

Practice address

315 Patton Dr
Shelby, NC 28150-5429

Phone

(704) 476-8078

NPI assigned

Jul 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1801109483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PATTON DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PATTON DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505429",
            "telephone_number": "704-476-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001521",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "C001521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3690538",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah McBride, PT
• Jazzmire McCain-Harris, LCSWA
• Bria McCloud
• McCluney's Family Care Home
• Charlene Padgett Shearon McCraw, NP
• Robert Andrew McCully Jr., D.MIN., LPCS, LCAS
• Nina L. McCurry, L.C.A.S.
• Thea McCurry
• Caroline Gordon McDaniel, PHARMD
• Lucy Hall McDaniel, FNP

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.