Individual provider · Type 1 NPI

Jacqueline Doreen McCullough, LBSW

Clinical Social Worker · Southgate, MI

NPI number 1659555035 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

3066 7th St
Monroe, MI 48162-4801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6802082002 (MI)

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 1659555035

Jacqueline Doreen McCullough, LBSW's National Provider Identifier is 1659555035, issued on Dec 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southgate, MI. The record was last updated on Dec 21, 2007.