ZAQUES J MCCULLOUGH
NPI 1861165094
Social Worker - Clinical in Yanceyville, NC

Q: What is Zaques Mccullough's NPI number?

The NPI number for Zaques Mccullough is 1861165094. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Q: What is Zaques Mccullough'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 Zaques Mccullough was last updated on June 28, 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.

Active since July 25, 2021

439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379(336) 694-9331(336) 694-7511 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 13, 2022, Jul 25, 2021 (2 updates tracked since 2021).

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About Zaques J Mccullough NPPES

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

ZAQUES J MCCULLOUGH (NPI 1861165094) is an individual clinical provider in Yanceyville, North Carolina, licensed in North Carolina (P016224) and active in the NPI registry since July 2021. He maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1861165094

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameZAQUES J MCCULLOUGH

Location Address439 US HIGHWAY 158 WYanceyville, NC 27379-8304

Mailing Address107 Hurston WayGreensboro, NC 27405-2948 · (252) 375-0694

Phone(336) 694-9331

Fax(336) 694-7511

Sole ProprietorNo

Enumeration DateJuly 25, 2021

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 28, 2023

✔ NPI 1861165094 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 NC · P016224

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.

439 US HIGHWAY 158 W, Yanceyville, NC 27379

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Secondary Practice Location 1

Location 1469 Shady Grove CtWinston Salem, NC 27103-5540 · Phone (704) 266-3049

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

MIRANDA G WORLEY PA-C

Physician Assistant (Medical)