MISS MICHELLE ANN MCCULLOUGH L.C.S.W.
NPI 1881895522
Social Worker - Clinical in Chicago, IL

Q: What is Michelle Mccullough's NPI number?

The NPI number for Michelle Mccullough is 1881895522. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Michelle Mccullough's specialty?

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

Active since May 30, 2007PECOS Enrolled

4800 N MARINE DR, CHICAGO, IL 60640(773) 275-6233(773) 275-6288 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Miss Michelle Ann Mccullough L.c.s.w. NPPES

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

MISS MICHELLE ANN MCCULLOUGH L.C.S.W. (NPI 1881895522) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149011686) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1881895522

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS MICHELLE ANN MCCULLOUGHCredential: L.C.S.W.

Location Address4800 N MARINE DRChicago, IL 60640-7859

Mailing Address4800 N Marine DrChicago, IL 60640-7859 · (773) 275-6233 · Fax (773) 275-6288

Phone(773) 275-6233

Fax(773) 275-6288

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 30, 2007

Last NPPES UpdateJuly 19, 2022

NPPES CertifiedJuly 19, 2022

✔ NPI 1881895522 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 · 149011686

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.

4800 N MARINE DR, Chicago, IL 60640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Michelle Ann Mccullough L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345319612

PECOS Enrollment IDI20080513000714

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alberto Minzer And Associates LLC

22 mi

Counselor

715 E GOLF RD STE 200A1
Schaumburg, IL 60173

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1780334060 (847) 602-8023

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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 $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 6

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

MR. MARK EMMET RUND

Social Worker (Clinical)