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BLAKE MCCULLOUGH LMSW
NPI 1679073092
Social Worker - Clinical in East Lansing, MI

Active since February 13, 2018PECOS EnrolledAccepts Medicare Assignment
2900 HANNAH BLVD STE 104, EAST LANSING, MI 48823(517) 253-6320 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Sep 18, 2019, Feb 13, 2018 (3 updates tracked since 2018).

About Blake Mccullough Lmsw NPPES

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

BLAKE MCCULLOUGH LMSW (NPI 1679073092) is an individual clinical provider in East Lansing, Michigan, licensed in Michigan (6801104012) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679073092
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBLAKE MCCULLOUGHCredential: LMSW
Location Address2900 HANNAH BLVD STE 104East Lansing, MI 48823-5380
Mailing Address2900 Hannah Blvd Ste 104East Lansing, MI 48823-5380 · (517) 253-6320
Phone(517) 253-6320
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2018
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1679073092 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 MI · 6801104012
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 ListedSocial WorkerTaxonomy 104100000X · License 6801100146 (MI)
2900 HANNAH BLVD STE 104, East Lansing, MI 48823
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15303 S Cedar St Ste 2Lansing, MI 48911-3800 · Phone (517) 346-8000
Location 24123 Okemos Rd Ste 15Okemos, MI 48864-2818 · Phone (517) 243-9738

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Blake Mccullough 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 ID8224365028
PECOS Enrollment IDI20190815002275
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

EDWARD W SPARROW HOSPITAL ASSOCIATION
Family Medicine
2900 HANNAH BLVD STE 104
EAST LANSING, MI 48823
Ingham County (517) 364-8000
OLY KAR DO
Family Medicine
2900 HANNAH BLVD STE 104
EAST LANSING, MI 48823
Ingham County (517) 364-8000
ARYA KHATIWODA D.O.
Urology
2900 HANNAH BLVD STE 104
EAST LANSING, MI 48823
Ingham County (517) 364-8118

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 Blake Mccullough's NPI number?

The NPI number for Blake Mccullough is 1679073092. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Blake Mccullough located?

Blake Mccullough practices at 2900 Hannah Blvd Ste 104, East Lansing, MI 48823. The listed phone number is (517) 253-6320.

What is Blake Mccullough's specialty?

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

Is Blake Mccullough enrolled in Medicare?

Yes. Blake 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.

What insurance does Blake Mccullough accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Blake Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blake Mccullough affiliated with any hospitals?

According to CMS data, Blake Mccullough is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Blake Mccullough was last updated on August 8, 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.