Individual provider · Type 1 NPI

Wanda Grace McCullough, LCSW

Clinical Social Worker · Kosciusko, MS

NPI number 1083994701 Active

Practice location

332 Highway 12 W
Kosciusko, MS 39090-3209

Call (662) 289-1800 Map

Fax (662) 289-9770

Mailing address

214 Grace Ln
Flora, MS 39071-6005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC1197 (MS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

24 other providers at this address

About NPI 1083994701

Wanda Grace McCullough, LCSW's National Provider Identifier is 1083994701, issued on Aug 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kosciusko, MS. The record was last updated on Aug 25, 2011.