Individual provider · Type 1 NPI

Stephen J. Bullock, CDCA.192853

Clinical Social Worker · West Chester, OH

NPI number 1235021908 Active

Practice location

7593 Tylers Place Blvd
West Chester, OH 45069-6308

Mailing address

39 Lori Ln
Dayton, OH 45449-2610

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCDCA.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.