Diamonique McCullough, MSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

420 S San Pedro St Ste G4
Los Angeles, CA 90013-1938

Phone

(213) 620-5712

Fax

(213) 621-4155

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1932415502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S SAN PEDRO ST STE G4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131938",
            "telephone_number": "213-620-5712",
            "fax_number": "213-621-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SAN PEDRO ST STE G4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131938",
            "telephone_number": "213-620-5712",
            "fax_number": "213-621-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "DIAMONIQUE",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Helene McCulloch, MS
• Kalie McCulloch, DMD
• Patricia McCulloch
• Zhena McCullom
• McCullough Consultants LLC
• Garrett Grannan McCullough
• Kelley D McCullough
• Kelly Fairchild McCullough
• Lynne B McCullough, MD
• Madelyn McCullough, DPT

• School Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.