MARY KATHLEEN CATES CULLISON LCAC NPI 1982588323

NPI Information

NPI: 1982588323
Provider Name: MARY KATHLEEN CATES CULLISON, LCAC
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Individual
Address: 417 ARNOLD CT
KOKOMO, IN
ZIP 46902
Phone: (765) 450-4843

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NPI Details

Mary Kathleen Cates Cullison, LCAC is a clinical social worker in Kokomo, IN. 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. Mary Kathleen Cates Cullison, LCAC NPI is 1982588323. 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:

417 ARNOLD CT
KOKOMO, IN
ZIP 46902-702
Phone: (765) 450-4843
Fax: (765) 450-4895

The enumeration date for this NPI number is 7/31/2025 and was last updated on 8/12/2025.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87001439A	INDIANA	No
2	1041C0700X	Social Worker	Clinical	34005813A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34005813A	OTHER	INDIANA	LICENSED CLINICAL SOCIAL WORKER LICENSE

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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