Samantha McCullough, LMSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106597 Issued in MI

Practice address

6295 N Elms Rd
Flushing, MI 48433-9002

Phone

(810) 243-2660

Fax

(810) 309-8833

NPI assigned

Aug 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Growing Through It Therapy PCGroup PAC ID 0749636561, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Growing Through It Therapy, PC

  • Clinical Social Worker
  • Flushing, MI
  • NPI 1144942020

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Flint Odyssey House Outpatient Services

  • Substance Abuse Rehabilitation Facility
  • Flint, MI
  • NPI 1326484064
  NPD (past)
• Healing Hearts Therapy LLC

  • Mental Health Counselor
  • Mount Morris, MI
  • NPI 1770061962
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1952855157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 W VIENNA RD STE 162",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201757",
            "telephone_number": "810-243-2660",
            "fax_number": "810-309-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 N ELMS RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339002",
            "telephone_number": "810-243-2660",
            "fax_number": "810-309-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1289 S Linden Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323499",
            "country_code": "US",
            "telephone_number": "810-243-2660",
            "fax_number": "810-309-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SAMANTHA",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106597",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan McClain
• Kristen Nicole McClara
• Bonnie McCord
• Lorri Lynn McCoy, RPH
• Katoya McCray
• Jennifer Kay McDonald-Miller
• Ireland McDonough
• Kristie McElroy
• Kaylonda McGuire
• Leah McIntyre

• Clinical Social Worker in Flushing, MI
• Providers in Flushing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.