Ms Wanda Grace Mccullough, LCSW is a
Social Worker - Clinical based in Kosciusko, Mississippi. Ms Wanda Grace Mccullough is licensed to practice in Mississippi (license number C1197) and her current practice location is
332 Highway 12 W, Kosciusko, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 289-1800.
NPI number for Ms Wanda Grace Mccullough is 1083994701 and her current mailing address is 214 Grace Ln, Flora, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083994701.
Healthcare Provider's Profile
Full Name | Ms Wanda Grace Mccullough |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 332 Highway 12 W, Kosciusko, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083994701
- Provider Enumeration Date: 08/25/2011
- Last Update Date: 08/25/2011
Medical Identifiers
Medical identifiers for Ms Wanda Grace Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083994701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C1197 (Mississippi) | 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. Ms Wanda Grace 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 |
Ms Wanda Grace Mccullough, LCSW 214 Grace Ln, Flora, MS 39071-6005 Ph: (601) 500-2727 | Ms Wanda Grace Mccullough, LCSW 332 Highway 12 W, Kosciusko, MS 39090-3209 Ph: (662) 289-1800 |
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