Elizabeth M McCully, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW.61644354 Issued in WA

Practice address

10212 5TH Ave NE Ste 116
Seattle, WA 98125-7471

Phone

(425) 699-6873

Fax

(800) 381-1472

NPI assigned

Sep 25, 2024

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WA

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

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Mental Health LLC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1255987368
  Medicare reassignment NPD
• New Adulthood Counseling PLLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1629935804

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1982421426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "206-460-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE STE 116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "425-699-6873",
            "fax_number": "800-381-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste W",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "206-460-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLY",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW.61644354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Judith McCulloch, MD
• Emily McCullough Keating
• Kimberly Voss McCullough, MHCA
• Kristi Sue McCullough, PHARMACY TECHNICIAN
• Melissa Mariko McCullough, MA, MHCA
• Charles Jacob McCune
• Emma McCune, MACHM
• Mara Juliee McCune, LMP
• Ann Marie McCurdy, MSW
• Jamie McCurdy, LMP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.