Individual provider · Type 1 NPI
Kimberly Antoinette Bullock, LCSW
Clinical Social Worker · Jamaica, NY
Practice location
17657 132nd Ave
Jamaica, NY 11434-5839
Fax (516) 292-7008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 075392 (NY) |
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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- Marsha Moise, LCSWClinical Social Worker Jamaica, NY NPI 1023759412
- Diane Therese Levy, LCSWClinical Social Worker Jamaica, NY NPI 1033230222
- Eugene Donald Shea, MSW, LCSWClinical Social Worker Jamaica, NY NPI 1033262084
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About NPI 1265708564
Kimberly Antoinette Bullock, LCSW's National Provider Identifier is 1265708564, issued on Mar 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica, NY. The record was last updated on Mar 30, 2012.