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CARLI MCCULLOCH LCSW
NPI 1255021275
Social Worker - Clinical in Riverside, CA

Active since May 11, 2023PECOS Enrolled
19322 JESSE LN STE 200, RIVERSIDE, CA 92508(951) 387-4040 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carli Mcculloch Lcsw NPPES

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

CARLI MCCULLOCH LCSW (NPI 1255021275) is an individual clinical provider in Riverside, California, licensed in California (114491) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255021275
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLI MCCULLOCHCredential: LCSW
Location Address19322 JESSE LN STE 200Riverside, CA 92508-5072
Mailing Address19322 Jesse Ln Ste 200Riverside, CA 92508-5072 · (951) 387-4040
Phone(951) 387-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1255021275 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 CA · 114491
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.
19322 JESSE LN STE 200, Riverside, CA 92508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carli Mcculloch Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759889561
PECOS Enrollment IDI20250811003853
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92508 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 $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

SARAH MARIE MOSS LMFT
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
AMANDA RENEE SANCHEZ MA, LMFT
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
MS. MELISSA HOLLY KOTZIN MS
Counselor (Mental Health)
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (909) 387-4040
ALLISON SALATTO LMFT
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
HOLLY BRIGGS
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
MR. PATRICK S MISHLER LMFT, LPCC
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
JENNIFER TRAN LCSW
Social Worker (Clinical)
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040
ANGELICA RAMIREZ-DIAZ LMFT
Marriage & Family Therapist
19322 JESSE LN STE 200
RIVERSIDE, CA 92508
Riverside County (951) 387-4040

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 Carli Mcculloch's NPI number?

The NPI number for Carli Mcculloch is 1255021275. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Carli Mcculloch located?

Carli Mcculloch practices at 19322 Jesse Ln Ste 200, Riverside, CA 92508. The listed phone number is (951) 387-4040.

What is Carli Mcculloch's specialty?

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

Is Carli Mcculloch enrolled in Medicare?

Yes. Carli Mcculloch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carli Mcculloch was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.