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JENNIFER MCCULLOCH LMSW
NPI 1700238128
Social Worker - Clinical in Ann Arbor, MI

Active since July 09, 2016Opted out of Medicare · through Feb 16, 2027
1955 PAULINE BLVD, ANN ARBOR, MI 48103(734) 994-9466 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Mcculloch Lmsw NPPES

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

JENNIFER MCCULLOCH LMSW (NPI 1700238128) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801087066) and active in the NPI registry since July 2016. She has opted out of Medicare through February 16, 2027.

NPPES Registry Identity

NPI1700238128
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER MCCULLOCHCredential: LMSW
Location Address1955 PAULINE BLVDAnn Arbor, MI 48103-5003
Mailing Address1955 Pauline BlvdAnn Arbor, MI 48103-5003 · (734) 994-9466
Phone(734) 994-9466
Sole ProprietorNo
Enumeration DateJuly 9, 2016
✔ NPI 1700238128 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 MI · 6801087066
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.
1955 PAULINE BLVD, Ann Arbor, MI 48103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Mcculloch Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2025 through February 16, 2027.

Opt-Out Effective DateFebruary 16, 2025
Opt-Out In Effect ThroughFebruary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

DR. ROCHELLE FLUMENBAUM PH.D.
Psychologist (Clinical)
1955 PAULINE BLVD, SUITE 100A
ANN ARBOR, MI 48103
Washtenaw County (734) 994-9466
LAURA HATTON MS, LLP
Psychologist
1955 PAULINE BLVD, SUITE 100A
ANN ARBOR, MI 48103
Washtenaw County (734) 994-9466
KRISTIN HAUDEK
Occupational Therapist
1955 PAULINE BLVD, STE 100C
ANN ARBOR, MI 48103
Washtenaw County (734) 769-0505
DR. ISABELLE JEANNE BEAULIEU PH.D.
Psychologist (Intellectual and Developmental Disabilities)
1955 PAULINE BLVD, SUITE 100A
ANN ARBOR, MI 48103
Washtenaw County (734) 994-9466
ECOLOGICAL INTERNAL MEDICINE, PLLC
Clinic/Center (Primary Care)
1955 PAULINE BLVD, SUITE 100D
ANN ARBOR, MI 48103
Washtenaw County (734) 213-4901
LAUREL SOLON MA CCC-SLP
Speech-Language Pathologist
1955 PAULINE BLVD, SUITE 100 C
ANN ARBOR, MI 48103
Washtenaw County (734) 769-0505
DIANE JORDAN
Speech-Language Pathologist
1955 PAULINE BLVD, STE 100C
ANN ARBOR, MI 48103
Washtenaw County (734) 769-0505
SUSANNAH BELL
Speech-Language Pathologist
1955 PAULINE BLVD, STE 100C
ANN ARBOR, MI 48103
Washtenaw County (734) 769-0505

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 Jennifer Mcculloch's NPI number?

The NPI number for Jennifer Mcculloch is 1700238128. It was assigned to this individual provider in the NPPES registry on July 9, 2016.

Where is Jennifer Mcculloch located?

Jennifer Mcculloch practices at 1955 Pauline Blvd, Ann Arbor, MI 48103. The listed phone number is (734) 994-9466.

What is Jennifer Mcculloch's specialty?

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

Is Jennifer Mcculloch enrolled in Medicare?

No. Jennifer Mcculloch has opted out of Medicare through February 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Mcculloch was last updated on July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.