MS. JENNIFER LYNN MCCULLOUGH (NPI# 1699702225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699702225 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN MCCULLOUGH |
| Credential | MSW, LCSW |
| Practice Address |
909 Missouri Blvd Suite F Jefferson City MO 65109-1771 |
| Practice Telephone | 5735840158 |
| Practice Fax Number | 5735840159 |
| Mailing Telephone | 5735840158 |
| Mailing Fax Number | 5735840159 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000949 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265064125 | Jennifer Kathryn Mccullough | Counselor | 1088 W Baltimore Pike Ste 2403, Media, PA 19063-5166 | 2020-02-09 |
| 1578115903 | Jennifer Renea Mccullough | Registered Nurse | 667 S 900 E, Salt Lake City, UT 84102-3418 | 2019-07-16 |
| 1043709231 | Jennifer Mccullough | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2018-05-03 |
| 1922546126 | Jennifer Lynn Mccullough | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2017-02-08 |
| 1427451210 | Jennifer Mccullough | Nurse Practitioner | 670 Leigh Dr, Columbus, MS 39705-3014 | 2014-10-07 |
| 1093956252 | Jennifer Mccullough | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2009-03-18 |
| 1013152362 | Jennifer Dawn Mccullough | Psychiatry & Neurology | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2008-12-15 |
| 1174644991 | Jennifer Lynn Mccullough | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-04-02 |
| 1073683942 | Jennifer Mccullough | Speech-Language Pathologist | 6075 Atlantic Blvd, Suite G-1, Norcross, GA 30071-1349 | 2006-11-08 |
| Street Address |
909 MISSOURI BLVD SUITE F |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922217694 | Wendy Dillender | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2007-05-21 |
| 1083821433 | Deborah Word | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2007-05-16 |
| 1649483454 | Kathryn Roberts | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2007-05-08 |
| 1154534246 | Stephanie Scott | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2007-05-07 |
| 1881713881 | Lois Christine Carlson | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2007-03-29 |
| 1801967104 | James F. Mcveigh | Psychologist | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1962983841 | Stephen Field Keohane | Social Worker | 331 Freedom Ln, Jefferson City, TN 37760-4132 | 2018-08-28 |
| 1609201896 | Brian Jesse Page | Social Worker | 2302 Militia Dr, Jefferson City, MO 65101-1203 | 2013-09-06 |
| 1093090508 | Sunrise Counseling LLC | Social Worker | 1808a Southwest Blvd, Jefferson City, MO 65109-2438 | 2011-10-15 |
| 1619257326 | Re-entry Transitions Counseling, L.L.C. | Social Worker | 1001 Southwest Blvd Ste F, Jefferson City, MO 65109-2501 | 2011-08-25 |
| 1306017132 | Harry Frederick Morlock Sr. | Social Worker | 972 Westwood Dr, Jefferson City, MO 65109-1863 | 2008-03-19 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| 1104896745 | Timothy Wayne Davis | Social Worker | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-01-25 |
| 1013518513 | Jennie M Harvat | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-11-03 |
| 1336748052 | Cynde Marie Patrick | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-10-23 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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| 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.