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MR. ELLIOT PARADIS MCCULLOUGH LMSW
NPI 1417625260
Social Worker - Clinical in New York, NY

Active since September 04, 2021
116 NASSAU ST, 3RD FL, NEW YORK, NY 10038(212) 416-5629 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Elliot Paradis Mccullough Lmsw NPPES

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

MR. ELLIOT PARADIS MCCULLOUGH LMSW (NPI 1417625260) is an individual clinical provider in New York, New York, licensed in New York (104664) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1417625260
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ELLIOT PARADIS MCCULLOUGHCredential: LMSW
Location Address116 NASSAU ST, 3RD FLNew York, NY 10038-2402
Mailing Address15 Westminster Rd Apt 2kBrooklyn, NY 11218-2828 · (917) 596-7338
Phone(212) 416-5629
Sole ProprietorYes
Enumeration DateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1417625260 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 NY · 104664
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.
116 NASSAU ST, New York, NY 10038
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elliot Mccullough's NPI number?

The NPI number for Elliot Mccullough is 1417625260. It was assigned to this individual provider in the NPPES registry on September 4, 2021.

Where is Elliot Mccullough located?

Elliot Mccullough practices at 116 Nassau St 3rd Fl, New York, NY 10038. The listed phone number is (212) 416-5629.

What is Elliot 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 Elliot Mccullough was last updated on September 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.