Individual provider · Type 1 NPI
Stephen J. Bullock, CDCA.192853
Clinical Social Worker · West Chester, OH
Practice location
7593 Tylers Place Blvd
West Chester, OH 45069-6308
Mailing address
39 Lori Ln
Dayton, OH 45449-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CDCA.192853 (OH) |
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 1235021908
Stephen J. Bullock, CDCA.192853's National Provider Identifier is 1235021908, issued on Jul 17, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Chester, OH. The record was last updated on Jul 17, 2025.