Individual provider · Type 1 NPI

Da'twanya Bullock

Clinical Social Worker · Greensboro, NC

NPI number 1366165599 Active

Practice location

405 Parkway St Ste A
Greensboro, NC 27401-1693

Call (919) 985-0510 Map

Mailing address

6220 Thermal Rd
Charlotte, NC 28211-5630

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1366165599

Da'twanya Bullock's National Provider Identifier is 1366165599, issued on Sep 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greensboro, NC. The record was last updated on Sep 22, 2022.