MRS. SHIRLEY WALLEY MCCULLOUGH MSW
NPI 1134191729
Social Worker - Clinical in Great Lakes, IL

NPI Status: Active since February 07, 2006

Contact Information

3001 6TH ST
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-6755

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  • Individual
  • Female
  • Social Worker
  • Clinical

About SHIRLEY MCCULLOUGH

This page provides the complete NPI Profile along with additional information for Shirley Mccullough, a provider established in Great Lakes, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1134191729 assigned on February 2006. The practitioner's primary taxonomy code is 1041C0700X with license number CSW100010 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1134191729
Provider Name
MRS. SHIRLEY WALLEY MCCULLOUGH MSW
Gender
Female
Entity Type
Individual
Location Address
3001 6TH ST GREAT LAKES, IL 60088
Location Phone
(847) 688-6755
Mailing Address
PO BOX 886912 GREAT LAKES, IL 60088
Mailing Phone
(847) 726-6021
Is Sole Proprietor?
Yes
Enumeration Date
02-07-2006
Last Update Date
07-08-2007
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A clinical social worker like Shirley 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.
CSW100010
License State
GA
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.
1134191729
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216429274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 9 + 2 + 7 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1134191729 is valid because the calculated check digit 9 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
1184610446DR. MYRON WILLIAM YENCHA MD
Individual
Otolaryngology3001 6TH ST DEPT OTOLARYNGOLOGY, NAVAL HOSPITAL
GREAT LAKES, IL 60088
(847) 688-4533
1992796445DR. MILAN MITROVIC PH.D.
Individual
Psychologist (Clinical)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2190
1053394189DR. NORMAN LEE M.D.
Individual
Internal Medicine3001 6TH ST 9TH FLOOR PRIMARY CARE DIRECTORATE SUITE
GREAT LAKES, IL 60088
(847) 688-5528
1447233440MS. DOROTHY C KENT MSN,PNP
Individual
Nurse Practitioner (Pediatrics)3001 6TH ST NAVAL HOSPITAL,
GREAT LAKES, IL 60088
(847) 688-2255
1144203761DR. JAMES ROLAND OXFORD D.D.S., M.S.D.
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2616
1750365219 KEVIN POTTER BROWN PH.D.
Individual
Psychologist (Clinical)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2221
1073598991MS. LOUISE MARGARET RYSSMANN PNP
Individual
Nurse Practitioner (Pediatrics)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-4560
1972589133DR. BRADLEY A MEER D.D.S
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1104802115DR. MOLLY ANN JENKINS DDS
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1740266600DR. RICHARD E GERHARDT D.D.S.
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-3331
1326025040DR. BRET VAN DYKEN D.D.S.
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-5547
1689651333DR. ROBERTA ELLEN WISUN DDS
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1508844242DR. ROBERT KURT FRISK DDS
Individual
Dentist (Endodontics)3001 6TH ST NHGL DENTAL DIRECTORATE
GREAT LAKES, IL 60088
(847) 688-2100
1831177393MR. SETH DAVID KOERNER RPH
Individual
Pharmacist3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-3375
1710965926DR. SCOTT A JENSEN DMD
Individual
Dentist (Endodontics)3001 6TH ST DENTAL DIRECTORATE
GREAT LAKES, IL 60088
(847) 688-2100
1326026576DR. MOSES HOLLINGSWORTH D.D.S.
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1326026535DR. WALTER R WITTKE DDS
Individual
Dentist3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1215915384DR. MARTIN LOUIS GOTTSTINE DDS
Individual
Dentist3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1316925423DR. ROBERT LEWIS JUCOVICS DDS
Individual
Dentist (General Practice)3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100
1750369773DR. JAMES PATRICK MUIR D.D.S.
Individual
Dentist3001 6TH ST
GREAT LAKES, IL 60088
(847) 688-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134191729, enumerated in the NPI registry as an "individual" on February 07, 2006

The provider is located at 3001 6th St Great Lakes, Il 60088 and the phone number is (847) 688-6755

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

This NPI record was last updated on February 07, 2006. 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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