IndividualActive
Mark Mccullough, LCSW
NPI 1932160488 · Clinical Social Worker · Boise, ID
Mark Mccullough, LCSW is a Clinical Social Worker provider in Boise, ID (NPI 1932160488).
Provider details
- NPI number
- 1932160488
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW696 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5400 W Franklin Road
Suite H
Boise, ID 83705
Phone: (208) 345-1170
Fax: (208) 345-3502
Street-level locationGet directions
Mailing address
Po Box 9
Nampa, ID 83653-0009
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2008-07-16
Frequently asked questions
- What is Mark Mccullough's NPI number?
- Mark Mccullough's National Provider Identifier (NPI) is 1932160488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Mccullough's specialty?
- Mark Mccullough is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mark Mccullough located?
- Mark Mccullough's practice location on file with NPPES is 5400 W Franklin Road, Boise, ID 83705.
- What is Mark Mccullough's phone number?
- The practice phone number listed in the NPPES registry for Mark Mccullough is (208) 345-1170.
- Is Mark Mccullough's NPI active?
- Yes — Mark Mccullough's NPI (1932160488) is active in the NPPES registry as of the last update on 2008-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.