DEAN RYAN MCCULLOUGH MSW LCSW
NPI 1194014670
Social Worker - Clinical in Bloomington, IL

Active since April 05, 2011
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701(309) 827-6026 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dean Ryan Mccullough Msw Lcsw NPPES

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

DEAN RYAN MCCULLOUGH MSW LCSW (NPI 1194014670) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149.014649) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1194014670
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDEAN RYAN MCCULLOUGHCredential: MSW LCSW
Location Address1003 MARTIN LUTHER KING DRBloomington, IL 61701-1429
Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (309) 827-6026
Sole ProprietorNo
Enumeration DateApril 5, 2011
Last NPPES UpdateDecember 3, 2019
NPI 1194014670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in IL · 149.014649 Licensed in IL · 149014649
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.

1003 MARTIN LUTHER KING DR, Bloomington, IL 61701

Other Providers at the Same Location NPPES 19

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

Counselor (Professional)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Professional)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Social Worker (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Professional)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR, BLOOMINGTON
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Psychologist (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194014670, enumerated as an "individual" on April 05, 2011.

The provider is located at 1003 MARTIN LUTHER KING DR BLOOMINGTON, IL 61701 and the phone number is (309) 827-6026.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.