Blake Mccullough, LMSW
NPI 1679073092 · Clinical Social Worker · East Lansing, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Mccullough, LMSW is a Clinical Social Worker provider in East Lansing, MI (NPI 1679073092).
Provider details
- NPI number
- 1679073092
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6801104012 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 5303 S Cedar St Ste 2Lansing, MI 48911-3800Phone: (517) 346-8000
- 4123 Okemos Rd Ste 15Okemos, MI 48864-2818Phone: (517) 243-9738
Registry dates
- Enumerated
- 2018-02-13
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Blake Mccullough's NPI number?
- Blake Mccullough's National Provider Identifier (NPI) is 1679073092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Mccullough's specialty?
- Blake Mccullough is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Blake Mccullough located?
- Blake Mccullough's practice location on file with NPPES is 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380.
- What is Blake Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Blake Mccullough is (517) 253-6320.
- Does Blake Mccullough accept Medicare?
- Blake Mccullough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Mccullough's NPI active?
- Yes — Blake Mccullough's NPI (1679073092) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.