Individual provider · Type 1 NPI

Leslie Ellen Bullock, MSW, LCSW

Clinical Social Worker · Fresno, CA

NPI number 1063545978 Active

Practice location

5464 N Palm Ave Ste B
Fresno, CA 93704-1946

Call (559) 908-0925 Map

Mailing address

4619 N Safford Ave
Fresno, CA 93704-2920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 23296 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1063545978

Leslie Ellen Bullock, MSW, LCSW's National Provider Identifier is 1063545978, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Sep 28, 2007.