National Provider Identifier
Kecia L McCullough Lcsw Psychotherapy Services PLLC
Kecia L McCullough Lcsw Psychotherapy Services PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 233-9794.
Profile Overview
- NPI
- 1497579874
- Provider Type
- Organization
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 12, 2024
- Last Updated
- November 12, 2024
Practice Location
- 45 Gilmore St
- Rochester, NY 14605-1309
Phone: (585) 233-9794
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1497579874
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Kecia L McCullough Lcsw Psychotherapy Services PLLC
- Mailing Street Address
- 45 Gilmore St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-1309
- Mailing Country
- US
- Mailing Phone
- (585) 233-9794
- Practice Street Address
- 45 Gilmore St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-1309
- Practice Country
- US
- Practice Phone
- (585) 233-9794
- Enumeration Date
- November 12, 2024
- Last Updated
- November 12, 2024
- Authorized Official Last Name
- McCullough
- Authorized Official First Name
- Kecia
- Authorized Official Middle Name
- Lee
- Authorized Official Title
- Clinical Therapist
- Authorized Official Phone
- (585) 233-9794
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- LCSW
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- November 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)