MS. WANDA GRACE MCCULLOUGH LCSW NPI 1083994701

NPI Information

  • NPI: 1083994701
  • Provider Name: MS. WANDA GRACE MCCULLOUGH, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 332 HIGHWAY 12 W
    KOSCIUSKO, MS
    ZIP 39090
  • Phone: (662) 289-1800

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NPI Details

MS. Wanda Grace Mccullough, LCSW is a clinical social worker in Kosciusko, MS. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Wanda Grace Mccullough, LCSW NPI is 1083994701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

332 HIGHWAY 12 W
KOSCIUSKO, MS
ZIP 39090-209
Phone: (662) 289-1800
Fax: (662) 289-9770

The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalC1197MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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