MELISSA ANN MCCULLOCH LCSW
NPI 1487166203
Social Worker - Clinical in Springfield, IL

Q: What is Melissa Mcculloch's NPI number?

The NPI number for Melissa Mcculloch is 1487166203. It was assigned to this individual provider in the NPPES registry on November 2, 2017. The provider is also known as Melissa Ann Bundy.

Q: What is Melissa Mcculloch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Mcculloch was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 02, 2017PECOS EnrolledAccepts Medicare Assignment

319 E MADISON ST FL 3, SPRINGFIELD, IL 62701(217) 545-8000(217) 585-6890 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Melissa Ann Mcculloch Lcsw NPPES

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

MELISSA ANN MCCULLOCH LCSW (NPI 1487166203) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (147-018047) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487166203

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMELISSA ANN MCCULLOCHCredential: LCSW

Location Address319 E MADISON ST FL 3Springfield, IL 62701-1035

Mailing AddressPo Box 19674Springfield, IL 62794-9674 · (217) 545-8000 · Fax (217) 585-6890

Phone(217) 545-8000

Fax(217) 585-6890

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 2, 2017

✔ NPI 1487166203 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 IL · 147-018047

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.

319 E MADISON ST FL 3, Springfield, IL 62701

Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Ann Bundy

Other Identifiers 1

Other147-018047IL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Ann Mcculloch Lcsw 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 ID2163789447

PECOS Enrollment IDI20171121001292

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 62701 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

MADELEINE ELIZABETH BRINDLE MD

Internal Medicine