Individual provider · Type 1 NPI
Kelley D. McCullough
Clinical Social Worker · Los Angeles, CA
Practice location
3862 S Redondo Blvd
Los Angeles, CA 90008-1113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW107966 (CA) |
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…
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About NPI 1104558048
Kelley D. McCullough's National Provider Identifier is 1104558048, issued on Jun 29, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 29, 2022.