Individual provider · Type 1 NPI

Kecia Lee McCullough, CASAC MASTERS, LMSW

Clinical Social Worker · Orchard Park, NY

NPI number 1285037606 Active

Practice location

227 Thorn Ave
Orchard Park, NY 14127-2600

Call (716) 662-2040 Map

Fax (716) 662-0019

Mailing address

45 Gilmore St
Rochester, NY 14605-1309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X28786 (NY)
Clinical Social Worker Primary 1041C0700X097126 (NY)

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 1285037606

Kecia Lee McCullough, CASAC MASTERS, LMSW's National Provider Identifier is 1285037606, issued on Sep 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orchard Park, NY. The record was last updated on Feb 29, 2024.