National Provider Identifier Database

MARY KATHLEEN CATES CULLISON, LCAC – NPI #1982588323
Clinical

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.


Contact Information

MARY KATHLEEN CATES CULLISON, LCAC
2751 ALBRIGHT RD
KOKOMO, IN46902-3996
Phone: 765-450-4843
Fax: 765-450-4895
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for MARY KATHLEEN CATES CULLISON

NPI Number 1982588323
Credentials LCAC
Entity Individual
Enumeration date 07/31/2025
Last updated 02/20/2026 - About 3 months ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 34005813A
  • IN License #: 87001439A
  • IN Other: 34005813A LICENSED CLINICAL SOCIAL WORKER LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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