Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jacqueline Doreen McCullough, LBSW

Individual provider Clinical Social Worker · NPI 1659555035

Mrs. Jacqueline Doreen McCullough, LBSW is a Clinical Social Worker in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6802082002 (MI)

Record details

NPI number1659555035
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW
Sole proprietorYes
NPI enumeratedDecember 21, 2007
Last updated in NPPESDecember 21, 2007

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