1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Social Worker
  6. NPI Profile

JESSICA MCCULLEY MSW, LCSW
NPI 1245634070
Social Worker - Clinical in Greensboro, NC

Active since October 22, 2014PECOS Enrolled
610 PEMBROKE RD # 10541, GREENSBORO, NC 27408(336) 920-3828 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Mcculley Msw, Lcsw NPPES

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

JESSICA MCCULLEY MSW, LCSW (NPI 1245634070) is an individual clinical provider in Greensboro, North Carolina, licensed in North Carolina (C011208) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245634070
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MCCULLEYCredential: MSW, LCSW
Location Address610 PEMBROKE RD # 10541Greensboro, NC 27408-7608
Mailing Address610 Pembroke Rd # 10541Greensboro, NC 27408-7608 · (336) 920-3828
Phone(336) 920-3828
Sole ProprietorYes
Enumeration DateOctober 22, 2014
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1245634070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C011208
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.
Also ListedSocial WorkerTaxonomy 104100000X · License C011208
610 PEMBROKE RD # 10541, Greensboro, NC 27408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mcculley Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Mcculley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical Of New Jersey, P.C.
2,342 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Brightside Medical Of New Jersey PC
  • 112 clinicians in this Medicare group
NPI 1811524754 (415) 360-3348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Mcculley's NPI number?

The NPI number for Jessica Mcculley is 1245634070. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Jessica Mcculley located?

Jessica Mcculley practices at 610 Pembroke Rd # 10541, Greensboro, NC 27408. The listed phone number is (336) 920-3828.

What is Jessica Mcculley's specialty?

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

Is Jessica Mcculley enrolled in Medicare?

Yes. Jessica Mcculley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Mcculley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mcculley reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Mcculley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mcculley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Jessica Mcculley 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 Jessica Mcculley was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.