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SUSAN MCCULLOCH LCSW
NPI 1033139332
Social Worker - Clinical in Jacksonville, FL

Active since July 20, 2006
3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257(904) 419-6102(904) 739-2153 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Mcculloch Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MCCULLOCH LCSW (NPI 1033139332) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW1539) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1033139332
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN MCCULLOCHCredential: LCSW
Location Address3810-3 WILLIAMSBURG PARK BLVDJacksonville, FL 32257-9220
Mailing Address3810-3 Williamsburg Park BlvdJacksonville, FL 32257-9220 · (904) 419-6102 · Fax (904) 739-2153
Phone(904) 419-6102
Fax(904) 739-2153
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033139332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW1539
Definition
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.
3810-3 WILLIAMSBURG PARK BLVD, Jacksonville, FL 32257
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Other Identifiers 2

OtherZ1307FL · Bc/bs
Other7427006FL · Aetna

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN GLENN GAST LMHC
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
JEANNA FELICITA HOUSTON
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
VAN ANTHONY FISER LCSW
Social Worker (Clinical)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-9102
LUANN M EDWARDS LCSW
Marriage & Family Therapist
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
SANDRA NORTHCUTT
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
BREAKTHROUGHS COUNSELING AND RECOVERY INC.
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
CINDY FALOR LMHC,CAP
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102
BRENDA LANE
Counselor (Mental Health)
3810-3 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL 32257
Duval County (904) 419-6102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Mcculloch's NPI number?

The NPI number for Susan Mcculloch is 1033139332. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Susan Mcculloch located?

Susan Mcculloch practices at 3810-3 Williamsburg Park Blvd, Jacksonville, FL 32257. The listed phone number is (904) 419-6102.

What is Susan Mcculloch's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Susan Mcculloch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.