Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487166203 Individual Practitioner Female Practitioner

Melissa Ann Mcculloch , LCSW

Social Worker - Clinical • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Melissa Mcculloch, LCSW is a certified Social Worker - Clinical practicing in Springfield, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Melissa Mcculloch delivers high-quality medical care to the local community at 319 E MADISON ST FL 3.

Melissa Mcculloch is affiliated with Best Life Counseling Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

319 E Madison St Fl 3

Springfield, IL 627011035

Telephone 2175458000
Fax 2175856890
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -4.3 yrs vs City Avg
City Avg: 19.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
197 Specialists

Practicing in Springfield, IL (14000 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcculloch (15 Years) 15 Yrs
Springfield Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
62 17 $243.16 $97.41
90832 Psychotherapy, 30 minutes
34 11 $121.29 $48.67
90791 Psychiatric diagnostic evaluation
27 27 $308.19 $100.07

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 147-018047

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
147-018047 (IL)

Hospital & Practice Group Affiliations

Best Life Counseling Services Llc

2621 Montega Dr, Springfield, IL 627047002

Phone: 2177648150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2017

Registered at 319 E MADISON ST FL 3, SPRINGFIELD, IL 627011035 (Tel: 2175458000)

📍
Updated Business Mailing Address November 02, 2017

Registered at PO BOX 19674, SPRINGFIELD, IL 627949674 (Tel: 2175458000)

👤
Provider Name / Credentials Updated November 02, 2017

Recorded as MELISSA MCCULLOCH, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Social Worker (License #147-018047 in IL)

🟢
Initial NPI Registration & Enumeration November 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487166203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2017
Last Update: November 02, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 19674

Springfield, IL 627949674

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.