Samantha Mccullough, LMSW, CAADC | |
6295 N Elms Rd, Flushing, MI 48433-9002 | |
(810) 243-2660 | |
(810) 309-8833 |
Full Name | Samantha Mccullough |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6295 N Elms Rd, Flushing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952855157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801106597 (Michigan) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
Entity Name | Growing Through It Therapy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144942020 PECOS PAC ID: 0749636561 Enrollment ID: O20231030002649 |
Mailing Address | Practice Location Address |
---|---|
Samantha Mccullough, LMSW, CAADC 2169 W Vienna Rd Ste 162, Clio, MI 48420-1757 Ph: (810) 243-2660 | Samantha Mccullough, LMSW, CAADC 6295 N Elms Rd, Flushing, MI 48433-9002 Ph: (810) 243-2660 |
Jessica Marie Short-slack, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5122 Pasadena Ave, Flushing, MI 48433 Phone: 810-429-7359 | |
Toya Lanese Russell, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 177 S Cherry Street, Flushing, MI 48433 Phone: 810-349-9675 | |
Mr. Brent A Hughes, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7083 Stanley Rd, Flushing, MI 48433 Phone: 810-844-1123 | |
Mia Maher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1507 E Pierson Rd, Flushing, MI 48433 Phone: 810-447-0414 | |
Paula M Archambault Selves, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1507 E Pierson Rd, Flushing, MI 48433 Phone: 810-964-9242 | |
Aereonna Victoria Pool, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3456 Pierson Pl Ste C, Flushing, MI 48433 Phone: 810-394-7815 | |
Mrs. Jennifer Elise Edwards, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3090 Beechtree Ln, Flushing, MI 48433 Phone: 810-223-3759 |