Individual provider · Type 1 NPI
Keith Bullock, LCSW, CADC
Clinical Social Worker · Oak Park, IL
Practice location
607 Gunderson Ave
Oak Park, IL 60304-1421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149014572 (IL) |
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 1083569354
Keith Bullock, LCSW, CADC's National Provider Identifier is 1083569354, issued on Mar 3, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Mar 3, 2026.