Christine McCullough, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802089318 Issued in MI

Practice address

1570 Suncrest Dr
Lapeer, MI 48446-1154

Phone

(810) 667-0500

Fax

(810) 664-8728

NPI assigned

Mar 31, 2017

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 MI

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of LapeerGroup PAC ID 4183533193, 23 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• County of Lapeer

  • Community/Behavioral Health Agency
  • Lapeer, MI
  • NPI 1275585929
  Medicare reassignment Care Compare group NPD
• The Lighted Path PLLC

  • Clinical Social Worker
  • Lapeer, MI
  • NPI 1306559703
  Medicare reassignment NPD Authorized official
• County of Lapeer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lapeer, MI
  • NPI 1518857085
  NPD

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1881126506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461154",
            "telephone_number": "810-667-0500",
            "fax_number": "810-664-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461154",
            "telephone_number": "810-667-0500",
            "fax_number": "810-664-8728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Court St Ste 204B",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484462263",
            "country_code": "US",
            "telephone_number": "810-423-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CHRISTINE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McClarren
• Gordon A McClimans II, DO
• Michele Shawn McCord
• Maria McCorry
• Chloe Elizabeth McCrum
• Crystal McDonald
• John W McDonald
• Johnathon McDonnell-Marcks
• Elizabeth Ann McElroy Kremm, MSW
• Justin McHugh, B.A.

• Social Worker in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.