Individual provider Active NPI

Marion Victoria McCulley, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1922037233
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992420 Issued in CO
Practice address
1650 Washington St
Denver, CO 80203-1407
Phone
(303) 819-2431
Fax
(720) 956-2313
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 992420 CO Primary

Addresses

Primary practice location

1650 Washington St
Denver, CO 80203-1407

Mailing address

1223 Humboldt St
Denver, CO 80218-2413
Phone (303) 819-2431

Other identifiers 1

IdentifierTypeStateIssuer
17853869MedicaidCO

Other names 1

  • Ms. M. Victoria Mitchell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1922037233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HUMBOLDT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802182413",
            "telephone_number": "303-819-2431",
            "fax_number": "720-956-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WASHINGTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031407",
            "telephone_number": "303-819-2431",
            "fax_number": "720-956-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "MARION",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17853869",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "MITCHELL",
            "middle_name": "VICTORIA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.