Kaitlin McCullough, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW011974 Issued in GA

Practice address

230 Peachtree St NW Ste 1800
Atlanta, GA 30303-1514

Phone

(404) 526-1145

NPI assigned

Jul 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Empowerment Resource Center, Inc.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1235469875
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1871322735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PEACHTREE ST NW STE 1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031514",
            "telephone_number": "404-526-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PEACHTREE ST NW STE 1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031514",
            "telephone_number": "404-526-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "KAITLIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth McCullough, MS, NCC
• Anita McCullough, LMSW
• Carrington Summer McCullough
• Gregory Wayne McCullough Jr., DMD
• Ian Lawrence McCullough, M.D.
• Lisa McCullough
• Shawna McCullough, CPNP
• Jasmine V McCully, LCSW
• Tiffiany McCune, C.S.A.
• McDaniel & Durrett, P.C

• Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.