| Mrs Shirley Walley Mccullough, MSW | |
|
3001 6th St, Great Lakes, IL 60088-2833 | |
| (847) 688-6755 | |
| Not Available |
| Full Name | Mrs Shirley Walley Mccullough |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 43 Years |
| Location | 3001 6th St, Great Lakes, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134191729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW100010 (Georgia) | Primary |
| Entity Name | Optum Behavioral Care of Delaware, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124907951 PECOS PAC ID: 4587017363 Enrollment ID: O20251013003845 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shirley Walley Mccullough, MSW Po Box 886912, Great Lakes, IL 60088-6912 Ph: (847) 726-6021 | Mrs Shirley Walley Mccullough, MSW 3001 6th St, Great Lakes, IL 60088-2833 Ph: (847) 688-6755 |
Mrs. Sherri Lynn Kenig, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St Ste A, Naval Health Clinic Mental Health, Great Lakes, IL 60088 Phone: 847-688-3607 |
Ms. Anne H. Clinton-cirocco, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 A Sixth Street, Great Lakes, IL 60088 Phone: 847-688-3607 |
Ms. Elyce Meilstrup, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St, Great Lakes, IL 60088 Phone: 847-688-5328 |
Mrs. Pamela Joan Rosentreter, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St Ste A, Bldg 200h, Great Lakes, IL 60088 Phone: 847-688-3607 |
Mr. Joseph J. Ford Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St, Naval Hospital Great Lakes, Great Lakes, IL 60088 Phone: 847-688-6755 Fax: 847-688-2798 |
Jazmin Quintanilla-rendon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, Great Lakes, IL 60088 Phone: 847-688-2469 |
Mr. Edward Raymond Frye, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 A Sixth St, Great Lakes, IL 60088 Phone: 847-688-3607 |