Individual provider · Type 1 NPI

Jennifer Lynn McCullough, MSW, LCSW

Clinical Social Worker · Jefferson City, MO

NPI number 1699702225 Active

Practice location

909 Missouri Blvd, Suite F
Jefferson City, MO 65109-1771

Fax (573) 584-0159

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	000949 (MO)

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 1699702225

Jennifer Lynn McCullough, MSW, LCSW's National Provider Identifier is 1699702225, issued on Jun 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 9, 2007.