IndividualActive
Kelley Mccullough
NPI 1104558048 · Clinical Social Worker · Los Angeles, CA
Kelley Mccullough is a Clinical Social Worker provider in Los Angeles, CA (NPI 1104558048).
Provider details
- NPI number
- 1104558048
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW107966 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3862 S Redondo Blvd
Los Angeles, CA 90008-1113
Phone: (310) 350-4350
Street-level locationGet directions
Mailing address
3862 S Redondo Blvd
Los Angeles, CA 90008-1113
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2022-06-29
- Certified
- 2022-06-22
Frequently asked questions
- What is Kelley Mccullough's NPI number?
- Kelley Mccullough's National Provider Identifier (NPI) is 1104558048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Mccullough's specialty?
- Kelley Mccullough is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelley Mccullough located?
- Kelley Mccullough's practice location on file with NPPES is 3862 S Redondo Blvd, Los Angeles, CA 90008-1113.
- What is Kelley Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Kelley Mccullough is (310) 350-4350.
- Is Kelley Mccullough's NPI active?
- Yes — Kelley Mccullough's NPI (1104558048) is active in the NPPES registry as of the last update on 2022-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.