Kecia Lee Mccullough, CASAC MASTERS, LMSW is a
Social Worker - Clinical based in Orchard Park, New York. Kecia Lee Mccullough is licensed to practice in New York (license number 097126) and her current practice location is
227 Thorn Ave, Orchard Park, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 662-2040.
NPI number for Kecia Lee Mccullough is 1285037606 and her current mailing address is 45 Gilmore St, Rochester, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285037606.
Healthcare Provider's Profile
| Full Name | Kecia Lee Mccullough |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 227 Thorn Ave, Orchard Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285037606
- Provider Enumeration Date: 09/30/2014
- Last Update Date: 02/29/2024
Medical Identifiers
Medical identifiers for Kecia Lee Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285037606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 28786 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 097126 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kecia Lee Mccullough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kecia Lee Mccullough, CASAC MASTERS, LMSW
45 Gilmore St,
Rochester, NY 14605-1309
Ph: (585) 233-9794 | Kecia Lee Mccullough, CASAC MASTERS, LMSW
227 Thorn Ave,
Orchard Park, NY 14127-2600
Ph: (716) 662-2040 |
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