Individual provider Active NPI

Sierra McCulloch, LCSW

  • Social Worker
  • Camp Hill, PA
National Provider Identifier
1932740503
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2133 Market St Ste 220
Camp Hill, PA 17011-4718
Phone
(717) 496-5729
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2133 Market St Ste 220
Camp Hill, PA 17011-4718

Mailing address

2133 Market St Ste 220
Camp Hill, PA 17011-4718
Phone (717) 496-5729

Other practice location 1

3201 Spring Rd
Carlisle, PA 17013-8741
Phone (717) 241-2345

Other practice location 2

2033 Market Street Suite 220
Camp Hill
Shippensburg, PA 17011
Phone (717) 496-5729

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$MedicaidPA

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Light Counseling and Integrative Services, LLC CurrentSince Oct 5, 2021 Accepting new patients
Healing Light Counseling and Integrative Services LLC CurrentSince Oct 5, 2021 Accepting new patients

Locations

2133 Market St
Ste 220
Camp Hill, PA 17011
Phone (717) 496-5729

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1932740503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 MARKET ST STE 220",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114718",
            "telephone_number": "717-496-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 MARKET ST STE 220",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114718",
            "telephone_number": "717-496-5729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170138741",
            "country_code": "US",
            "telephone_number": "717-241-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2033 Market Street Suite 220",
            "address_2": "Camp Hill",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "17011",
            "country_code": "US",
            "telephone_number": "717-496-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "SIERRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.