Provider Demographics
NPI:1649407305
Name:MCCULLOUGH, PIPPA (MSW - LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:PIPPA
Middle Name:
Last Name:MCCULLOUGH
Suffix:
Gender:F
Credentials:MSW - LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W 4TH ST
Mailing Address - Street 2:P. O. BOX 2610
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3309
Mailing Address - Country:US
Mailing Address - Phone:410-546-0508
Mailing Address - Fax:410-543-0510
Practice Address - Street 1:1201 PEMBERTON DRIVE
Practice Address - Street 2:SUITE 1-A CATHOLIC CHARITIES INC
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-546-0508
Practice Address - Fax:410-543-0510
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13376104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker