Individual provider · Type 1 NPI

Ryan Bullard, LCSW, BCD, PMH-C

Clinical Social Worker · Crestview, FL

NPI number 1265072326 Active

Practice location

128 John King Rd Ste 18
Crestview, FL 32539-5731

Call (850) 347-5457 Map

Fax (850) 779-3117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
School Social Worker 1041S0200XSW16948
Clinical Social Worker Primary 1041C0700XSW16948

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 1265072326

Ryan Bullard, LCSW, BCD, PMH-C's National Provider Identifier is 1265072326, issued on Jan 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crestview, FL. The record was last updated on Feb 26, 2023.