Individual provider · Type 1 NPI
Melissa Ann McCulloch, LCSW
Clinical Social Worker · Springfield, IL
Practice location
319 E Madison St Fl 3
Springfield, IL 62701-1035
Fax (217) 585-6890
Mailing address
PO Box 19674
Springfield, IL 62794-9674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 147-018047 (IL) |
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 1487166203
Melissa Ann McCulloch, LCSW's National Provider Identifier is 1487166203, issued on Nov 2, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Nov 2, 2017.