Individual provider Active NPI

Duane D. Culler, LISW, CGC

  • Clinical Social Worker
  • Shaker Heights, OH
National Provider Identifier
1922087634
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1201591 Issued in OH
Practice address
20600 Chagrin Blvd
Suite 7500
Shaker Heights, OH 44122-5327
Phone
(216) 761-4861
Fax
(216) 844-7497
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X
Clinical Social Worker 1041C0700X I.1201591 OH Primary

Addresses

Primary practice location

20600 Chagrin Blvd
Suite 7500
Shaker Heights, OH 44122-5327

Mailing address

16065 Glynn Rd
E Cleveland, OH 44112-3534
Phone (216) 761-4861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1922087634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16065 GLYNN RD",
            "city": "E CLEVELAND",
            "state": "OH",
            "postal_code": "441123534",
            "telephone_number": "216-761-4861",
            "fax_number": "216-844-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD",
            "address_2": "SUITE 7500",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "216-761-4861",
            "fax_number": "216-844-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLER",
        "first_name": "DUANE",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LISW, CGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.