Individual provider · Type 1 NPI
Blake A. Bullock, LCSW
Clinical Social Worker · Evanston, IL
Practice location
708 Church St Ste 223
Evanston, IL 60201-3881
Mailing address
1649 W Pratt Blvd Apt 3B
Chicago, IL 60626-4127
Other practice locations
- 1649 W Pratt Blvd Apt 3B, Chicago, IL 60626-4127 · (309) 540-8401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.024395 (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…
3 other providers at this address
Other clinical social worker providers in Evanston
- Tabitha Ledbetter, LCSWClinical Social Worker Evanston, IL NPI 1003102401
- Gianna N. Rosenthal, LCSW, M.ED.Clinical Social Worker Evanston, IL NPI 1003332792
- Kathleen Ann Valadez, LCSWClinical Social Worker Evanston, IL NPI 1003453812
- Kathleen A. Bogie, LCSWClinical Social Worker Evanston, IL NPI 1013088749
- Gabrielle Celia SternClinical Social Worker Evanston, IL NPI 1013481779
- Susan Burkhardt, LCSWClinical Social Worker Evanston, IL NPI 1023112067
- Ellen Kenemore, L.C.S.W.Clinical Social Worker Evanston, IL NPI 1033253257
- Nora Josephine Walsh, LCSWClinical Social Worker Evanston, IL NPI 1043071673
About NPI 1295505014
Blake A. Bullock, LCSW's National Provider Identifier is 1295505014, issued on Jan 3, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Jul 2, 2025.