| Ms Mary Angela Macculloch, LCSW | |
|
11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | |
| (315) 772-7624 | |
| Not Available |
| Full Name | Ms Mary Angela Macculloch |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023369675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075757-1 (New York) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary Angela Macculloch, LCSW 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-7624 | Ms Mary Angela Macculloch, LCSW 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-7624 |
Brittney Welborn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1st Street West, P36, Fort Drum, NY 13602 Phone: 315-772-2873 | |
Mr. John W Cadin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddaccredentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Carolyn Munich, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-0977 | |
Jean Reynolds Truitt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Semaj Talina Grant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2557 | |
Mr. Stephen William Plumb, LISW, LICSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |