Tosha Renee McCullough, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8411 Pennell St
Fairfax, VA 22031-4505

Phone

(703) 504-7924

NPI assigned

Feb 28, 2023

Sex

Female

Sole proprietor

No

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 DC

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

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 and National Provider Directory roles.

• Hopelink Behavioral Health

  • Voluntary or Charitable Agency
  • Oakton, VA
  • NPI 1275639684

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1851090872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 VERMONT AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207853364",
            "telephone_number": "202-679-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 PENNELL ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314505",
            "telephone_number": "703-504-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PRS, INC",
            "address_2": "10455 WHITE GRANITE DRIVE",
            "address_purpose": "LOCATION",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "country_code": "US",
            "telephone_number": "703-527-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TOSHA",
        "middle_name": "RENEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber McCormick, PA-C
• Mary E McCoy
• Leslie McCrea
• Jennifer McCue
• Kimberly A. McCuen, RN, CPNP
• Betty McCurdy, LPC
• Lauren Ginna D McCutchan
• Patricia A McDade, CPNP
• Carolyn Grace McDaniel, LPC
• CHI-Sun K. McDaniel, RDH

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, 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 Feb 28, 2023; 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.