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KECIA L MCCULLOUGH LCSW PSYCHOTHERAPY SERVICES PLLC
NPI 1497579874
Social Worker - Clinical in Rochester, NY

Active since November 12, 2024
45 GILMORE ST, ROCHESTER, NY 14605(585) 233-9794 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kecia L Mccullough Lcsw Psychotherapy Services Pllc NPPES

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

KECIA L MCCULLOUGH LCSW PSYCHOTHERAPY SERVICES PLLC (NPI 1497579874) is a healthcare organization registered as a clinical in Rochester, New York and active in the NPI registry since November 2024. The organization lists Kecia Lee Mccullough, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1497579874
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKECIA L MCCULLOUGH LCSW PSYCHOTHERAPY SERVICES PLLC
Location Address45 GILMORE STRochester, NY 14605-1309
Mailing Address45 Gilmore StRochester, NY 14605-1309 · (585) 233-9794
Phone(585) 233-9794
Organization SubpartNo
Authorized OfficialKecia Lee McculloughClinical Therapist · (585) 233-9794
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1497579874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
45 GILMORE ST, Rochester, NY 14605
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kecia L Mccullough Lcsw Psychotherapy Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kecia L Mccullough Lcsw Psychotherapy Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kecia Mccullough, CASAC MASTERS, LMSW
Clinical Social Worker
NPI 1285037606
227 THORN AVE
Orchard Park, NY 14127
(716) 662-2040
✔ PECOS✔ Accepts Medicare65 mi

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

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 L Mccullough Lcsw Psychotherapy Services PLLC's NPI number?

The NPI number for Kecia L Mccullough Lcsw Psychotherapy Services PLLC is 1497579874. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is Kecia L Mccullough Lcsw Psychotherapy Services PLLC located?

Kecia L Mccullough Lcsw Psychotherapy Services PLLC is located at 45 Gilmore St, Rochester, NY 14605. The listed phone number is (585) 233-9794.

What is Kecia L Mccullough Lcsw Psychotherapy Services PLLC's specialty?

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

Is Kecia L Mccullough Lcsw Psychotherapy Services PLLC enrolled in Medicare?

Yes. Kecia L Mccullough Lcsw Psychotherapy Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kecia L Mccullough Lcsw Psychotherapy Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kecia L Mccullough Lcsw Psychotherapy Services PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kecia L Mccullough Lcsw Psychotherapy Services PLLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.