Individual provider · Type 1 NPI

Ellison Cullen

Clinical Social Worker · Merrillville, IN

NPI number 1649765009 Active

Practice location

8200 Georgia St
Merrillville, IN 46410-6227

Call (219) 791-1400 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1649765009

Ellison Cullen's National Provider Identifier is 1649765009, issued on Jun 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Merrillville, IN. The record was last updated on Oct 31, 2019.