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MR. JONATHAN PETER MCCULLOCH LLMSW NPI 1730465311


NPI Information

NPI: 1730465311
Provider Name: MR. JONATHAN PETER MCCULLOCH, LLMSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
COLONIAL WOODS CHRISTIAN COUNSELING CENTER
1101 MILITARY STREET
PORT HURON, MI
ZIP 48060
Phone: (810) 984-5575
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MR. Jonathan Peter Mcculloch, LLMSW is a clinical social worker in Port Huron, MI. The provider is 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. MR. Jonathan Peter Mcculloch, LLMSW NPI is 1730465311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

COLONIAL WOODS CHRISTIAN COUNSELING CENTER
1101 MILITARY STREET
PORT HURON, MI
ZIP 48060-418
Phone: (810) 984-5575
Fax: (810) 984-6433

The enumeration date for this NPI number is 10/27/2011 and was last updated on 9/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care AttendantNo
21041C0700XSocial WorkerClinical6851115199MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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