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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARY ANGELA MACCULLOCH, LCSW

Active

MS. MARY ANGELA MACCULLOCH, LCSW is a Clinical Social Worker healthcare provider located in FORT DRUM, New York. NPI 1023369675 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FORT DRUM, NY

Registration Details

NPI Number
1023369675
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2012 (13.886701107825 yrs)
Last Updated
Nov 22, 2024
License
075757-1 (NY)

Practice Information

Address
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY, 136025438
Browse NY providers · Browse ZIP 13602
Phone
3157727624
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FORT DRUM, NY

Name Credential NPI
MR. MICHAEL L KEHOE MSW 1992787709
MR. STEPHEN WILLIAM PLUMB LISW, LICSW, BCD 1194708362
MS. TAMMY LYNNE FISH LCSW 1700860053
MR. RALPH KIRSCHNER MARCELLUS MSW, LCSW-R 1851362743
MR. STEPHEN SHATINSKY LCSW 1295882413
JEAN REYNOLDS TRUITT 1134375439
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.