Individual provider · Type 1 NPI

Jennifer Ashby Bullock, LCSW

Clinical Social Worker · Durham, NC

NPI number 1326226465 Active

Practice location

1318 Broad St
Durham, NC 27705-3533

Fax (919) 479-8172

Mailing address

6220 Cabin Branch Dr
Durham, NC 27712-9089

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC004353 (NC)

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 1326226465

Jennifer Ashby Bullock, LCSW's National Provider Identifier is 1326226465, issued on Jan 31, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jan 31, 2008.