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MARK ALLEN MCCULLOUGH LCSW
NPI 1932160488
Social Worker - Clinical in Boise, ID

Active since March 31, 2006
5400 W FRANKLIN ROAD, SUITE H, BOISE, ID 83705(208) 345-1170(208) 345-3502 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Allen Mccullough Lcsw NPPES

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

MARK ALLEN MCCULLOUGH LCSW (NPI 1932160488) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW696) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1932160488
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK ALLEN MCCULLOUGHCredential: LCSW
Location Address5400 W FRANKLIN ROAD, SUITE HBoise, ID 83705
Mailing AddressPo Box 9, 211 16th Avenue NorthNampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 467-7684
Phone(208) 345-1170
Fax(208) 345-3502
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1932160488 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 ID · LCSW696
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.
5400 W FRANKLIN ROAD, Boise, ID 83705
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Other Identifiers 1

Other1690636ID · Cigna Medicare

Other Providers at the Same Location NPPES

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

JEFFREY ARTHUR BETTS LCPC LMFT
Counselor (Professional)
5400 W FRANKLIN ROAD, SUITE H
BOISE, ID 83705
Ada County (208) 345-1170

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 Mark Mccullough's NPI number?

The NPI number for Mark Mccullough is 1932160488. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Mark Mccullough located?

Mark Mccullough practices at 5400 W Franklin Road Suite H, Boise, ID 83705. The listed phone number is (208) 345-1170.

What is Mark Mccullough's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Mccullough was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.