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PHOENIX MCCULLOCH MSW
NPI 1083897912
Social Worker in Portland, OR

Active since December 13, 2007
3050 SE DIVISION ST STE 205, PORTLAND, OR 97202(971) 808-2115 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Mcculloch Msw NPPES

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

PHOENIX MCCULLOCH MSW (NPI 1083897912) is an individual social worker in Portland, Oregon and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1083897912
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NamePHOENIX MCCULLOCHCredential: MSW
Location Address3050 SE DIVISION ST STE 205Portland, OR 97202-1997
Mailing Address1500 Ne Irving St, Suite 250Portland, OR 97232-2243 · (503) 233-4356
Phone(971) 808-2115
Sole ProprietorYes
Enumeration DateDecember 13, 2007
Last NPPES UpdateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1083897912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3050 SE DIVISION ST STE 205, Portland, OR 97202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

NORA LARSON LCSW, LICSW
Social Worker (Clinical)
3050 SE DIVISION ST STE 205
PORTLAND, OR 97202
Multnomah County (612) 839-5261
REBECA BEEMAN
Marriage & Family Therapist
3050 SE DIVISION ST STE 205
PORTLAND, OR 97202
Multnomah County (503) 809-4166

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 Phoenix Mcculloch's NPI number?

The NPI number for Phoenix Mcculloch is 1083897912. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Phoenix Mcculloch located?

Phoenix Mcculloch practices at 3050 SE Division St Ste 205, Portland, OR 97202. The listed phone number is (971) 808-2115.

What is Phoenix Mcculloch's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

What insurance does Phoenix Mcculloch accept?

Health plans from Kaiser Permanente and Providence Health Plan list Phoenix Mcculloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Mcculloch was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.