KECIA LEE MCCULLOUGH CASAC MASTERS, LMSW
NPI 1285037606
Social Worker - Clinical in Orchard Park, NY

Active since September 30, 2014PECOS EnrolledAccepts Medicare Assignment
227 THORN AVE, ORCHARD PARK, NY 14127(716) 662-2040(716) 662-0019 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kecia Lee Mccullough Casac Masters, Lmsw NPPES

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

KECIA LEE MCCULLOUGH CASAC MASTERS, LMSW (NPI 1285037606) is an individual clinical provider in Orchard Park, New York, licensed in New York (097126) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285037606
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKECIA LEE MCCULLOUGHCredential: CASAC MASTERS, LMSW
Location Address227 THORN AVEOrchard Park, NY 14127-2600
Mailing Address45 Gilmore StRochester, NY 14605-1309 · (585) 233-9794
Fax(716) 662-0019
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 30, 2014
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedJune 26, 2021
✔ NPI 1285037606 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 NY · 097126
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 28786 (NY)
227 THORN AVE, Orchard Park, NY 14127

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kecia Lee Mccullough Casac Masters, Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183153596
PECOS Enrollment IDI20250130002339
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 Kecia Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
45 GILMORE ST
Rochester, NY 14605
  • Reassigned Medicare billing, New York enrollment

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 14127 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Licensed Practical Nurse
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor (Mental Health)
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor (Mental Health)
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor
227 THORN AVE
ORCHARD PARK, NY 14127
Counselor
227 THORN AVE
ORCHARD PARK, NY 14127

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 Kecia Mccullough's NPI number?

The NPI number for Kecia Mccullough is 1285037606. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Kecia Mccullough located?

Kecia Mccullough practices at 227 Thorn Ave, Orchard Park, NY 14127. The listed phone number is (716) 662-2040.

What is Kecia Mccullough's specialty?

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

Is Kecia Mccullough enrolled in Medicare?

Yes. Kecia Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kecia Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kecia Mccullough reassigns Medicare benefits to Kecia L Mccullough Lcsw Psychotherapy Services PLLC (Rochester, NY). 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 Kecia Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kecia Mccullough was last updated on February 29, 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.