Active NPI
Marla Suzanne McCulloch, MSS, LCSW, CEAP
- Clinical Social Worker
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW-014888
- Practice address
- 114 Crockett Rd
King of Prussia, PA 19406-3014 - Phone
- (610) 716-1136
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW-014888 | PA | Primary |
Addresses
Primary practice location
114 Crockett Rd
King of Prussia, PA 19406-3014
Mailing address
538 Washington Ave
Media, PA 19063-3919
Phone (610) 716-1136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW-014888 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Professional Services, Inc | Current | Accepting new patients | |
| Holcomb Associates, Inc. | Current | Accepting new patients | |
| Owl Insights Clinical Services LLC | Clinical | Current | Accepting new patients |
| Holcomb Associates, Inc. | Current | Accepting new patients | |
| Holcomb Associates, Inc | Current | Accepting new patients |
Locations
467 Creamery Way
Exton, PA 19341
Phone 61036314882136
600 Evergreen Dr
Ste 103
Glen Mills, PA 19342
Phone (267) 857-4864
920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400
1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020
1055 E Baltimore Pike
Ste 303
Media, PA 19063
Phone (267) 807-3169
780 E Market St
West Chester, PA 19382
Phone (425) 908-0237
Interoperability endpoints
- dcp.marlamcculloch@141748.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Media, PA
- NPI 1952485864
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Exton, PA
- NPI 1083670590
-
- Clinical Social Worker
- Media, PA
- NPI 1063343549
-
- Community/Behavioral Health Agency
- Bethlehem, PA
- NPI 1346061595
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kennett Square, PA
- NPI 1184847766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942239934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 WASHINGTON AVE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633919",
"telephone_number": "610-716-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CROCKETT RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063014",
"telephone_number": "610-716-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOCH",
"first_name": "MARLA",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "MSS, LCSW, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW-014888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.