Individual provider · Type 1 NPI

Zaques J. McCullough

Clinical Social Worker · Yanceyville, NC

NPI number 1861165094 Active

Practice location

439 US Highway 158 W
Yanceyville, NC 27379-8304

Call (336) 694-9331 Map

Fax (336) 694-7511

Mailing address

107 Hurston Way
Greensboro, NC 27405-2948

Other practice locations

  • 469 Shady Grove Ct, Winston Salem, NC 27103-5540 · (704) 266-3049

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016224 (NC)

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 1861165094

Zaques J. McCullough's National Provider Identifier is 1861165094, issued on Jul 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yanceyville, NC. The record was last updated on Jun 28, 2023.