MS. WANDA GRACE MCCULLOUGH LCSW
NPI 1083994701
Social Worker - Clinical in Kosciusko, MS

NPI Status: Active since August 25, 2011

Contact Information

332 HIGHWAY 12 W
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 289-1800
Fax: (662) 289-9770

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  • Individual
  • Female
  • Social Worker
  • Clinical

About WANDA MCCULLOUGH

This page provides the complete NPI Profile along with additional information for Wanda Mccullough, a provider established in Kosciusko, Mississippi with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1083994701 assigned on August 2011. The practitioner's primary taxonomy code is 1041C0700X with license number C1197 (MS). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1083994701
Provider Name
MS. WANDA GRACE MCCULLOUGH LCSW
Other Name
MS. WANDA GRACE SHARP LCSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
332 HIGHWAY 12 W KOSCIUSKO, MS 39090
Location Phone
(662) 289-1800
Location Fax
(662) 289-9770
Mailing Address
214 GRACE LN FLORA, MS 39071
Mailing Phone
(601) 500-2727
Is Sole Proprietor?
Yes
Enumeration Date
08-25-2011
Last Update Date
08-25-2011
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A clinical social worker like Wanda Mccullough is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
C1197
License State
MS
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083994701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163189870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 8 + 9 + 8 + 7 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1083994701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023070067DR. TIMOTHY J ALFORD MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1235191289DR. RICHARD C CARTER MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1073576070DR. MICHAEL G HOLMAN MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1205899267DR. JACKEY D TURNER MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1760446447DR. RONNIE S CHRISTIAN MD
Individual
Radiology (Body Imaging)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1295815462DR. JAMES J WITHERS MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1700966272MISS VALERIE MICHELLE MITCHELL LMSW
Individual
Counselor (Professional)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1790827038PREMIER MEDICAL GROUP OF MISSISSIPPI LLC
Organization
Clinic/Center332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1154505659RONNIE S. CHRISTIAN, MD, P. C.
Organization
Radiology (Diagnostic Radiology)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1144534900NEWSOUTH NEUROSPINE, LLC.
Organization
Neurological Surgery332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(877) 554-4257
1376506741MR. TIMOTHY M. SOUTH FNP
Individual
Nurse Practitioner (Family)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1700016763DR. SRIDEVI ALLA M.D.
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1902868961DR. BENJAMIN THOMAS CARTER MD
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1831486596 JOHN GRAY WALLACE M.D.
Individual
Family Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1942595202DR. SAMUEL JOSEPH HOLDINESS M.D.
Individual
Internal Medicine332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1609178094MRS. KRISTA BAIN BLAYLOCK N.P.
Individual
Nurse Practitioner332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1922458348 HANNAH TINGLE
Individual
Occupational Therapist332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-3588
1710401575 ROBERT KIRTIS GREENLEE FNP
Individual
Nurse Practitioner (Family)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1659905271 CANDICE EDWARDS PARISH FNP-C
Individual
Nurse Practitioner (Family)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800
1770295735 MEAGAN CARPENTER FNP
Individual
Nurse Practitioner (Family)332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
(662) 289-1800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083994701, enumerated in the NPI registry as an "individual" on August 25, 2011

The provider is located at 332 Highway 12 W Kosciusko, Ms 39090 and the phone number is (662) 289-1800

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on August 25, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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