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

Active since August 25, 2011
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090(662) 289-1800(662) 289-9770 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Wanda Grace Mccullough Lcsw NPPES

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

MS. WANDA GRACE MCCULLOUGH LCSW (NPI 1083994701) is an individual clinical provider in Kosciusko, Mississippi, licensed in Mississippi (C1197) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1083994701
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. WANDA GRACE MCCULLOUGHCredential: LCSW
Location Address332 HIGHWAY 12 WKosciusko, MS 39090-3209
Mailing Address214 Grace LnFlora, MS 39071-6005 · (601) 500-2727
Fax(662) 289-9770
Sole ProprietorYes
Enumeration DateAugust 25, 2011
NPI 1083994701 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 MS · C1197
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.
332 HIGHWAY 12 W, Kosciusko, MS 39090

Other Names 1

Former Name (1)Ms. Wanda Grace Sharp Lcsw

Other Providers at the Same Location NPPES 20

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

Family Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Family Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Neurological Surgery
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Radiology (Diagnostic Radiology)
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Family Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Family Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Family Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090
Internal Medicine
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090

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 Wanda Mccullough's NPI number?

The NPI number for Wanda Mccullough is 1083994701. It was assigned to this individual provider in the NPPES registry on August 25, 2011. The provider is also known as Ms. Wanda Grace Sharp Lcsw.

Where is Wanda Mccullough located?

Wanda Mccullough practices at 332 Highway 12 W, Kosciusko, MS 39090. The listed phone number is (662) 289-1800.

What is Wanda Mccullough'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 Wanda Mccullough was last updated on August 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.