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

Mrs. Shirley Walley McCullough, MSW

Individual provider Clinical Social Worker · NPI 1134191729

Mrs. Shirley Walley McCullough, MSW is a Clinical Social Worker in Great Lakes, Illinois. Qualified in 1983, 43 years ago. Licensed in Georgia.

Years since qualifying
43
Licensed in
GA
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3001 6th St
Great Lakes, IL 60088-2833
Phone: (847) 688-6755
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW100010 (GA)

Record details

NPI number1134191729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Great Lakes