MRS. DEBORAH MCCULLOCH (NPI# 1417083486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083486 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH MCCULLOCH |
| Credential | LCSW |
| Practice Address |
3737 Lake Ave Fort Wayne IN 46805-5554 |
| Mailing Address |
11232 Bittersweet Creek Run Fort Wayne IN 46814-3286 |
| Practice Telephone | 2604221680 |
| Practice Fax Number | 2604221555 |
| Mailing Telephone | 2604368053 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | IN | Behavioral Health & Social Service Providers |
| Street Address |
3737 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399900 | Natalie Ann Niswander | Social Worker | 3737 Lake Ave, Fort Wayne, IN 46805-5554 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587548 | Laura Raquel Rochford | Social Worker | 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 | 2020-10-30 |
| 1801407689 | Hand Along The Way, LLC | Social Worker | 4118 Sandhurst Dr, Fort Wayne, IN 46815-5430 | 2020-08-13 |
| 1588200604 | Shalynn Grace Bailey | Social Worker | 2625 Medford Dr, Fort Wayne, IN 46803-3132 | 2019-11-24 |
| 1912363375 | Jay Alan Bastian | Social Worker | 5004 Woodhurst Blvd, Fort Wayne, IN 46807-3134 | 2016-01-14 |
| 1669757225 | Denise Jensen | Social Worker | 12306 Goldeneyes Ct, Fort Wayne, IN 46845-9160 | 2011-10-14 |
| 1679743033 | Sandra Ellen Chauhan | Social Worker | 8708 Woodstream Dr, Fort Wayne, IN 46804-6564 | 2008-03-01 |
| 1184815102 | James Scott Ferraro | Social Worker | 12527 Carroll Creek Run, Fort Wayne, IN 46818-8780 | 2007-08-06 |
| 1487870531 | Michelle A. Hoffman | Social Worker | Lutheran Hospital- Social Services, 7950 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2007-04-17 |
| 1063432425 | Diana Lynn Pierce | Social Worker | 10305 Dawsons Creek Blvd Ste C, Fort Wayne, IN 46825-1914 | 2006-07-20 |
| 1215930755 | Heidi M Sims | Social Worker | 5215 N Bend Dr, Fort Wayne, IN 46804-1651 | 2005-05-28 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on MRS. DEBORAH MCCULLOCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.