Individual provider · Type 1 NPI

Gina Marie Bullock

Clinical Social Worker · Oakland, CA

NPI number 1376315754 Active

Practice location

2577 San Pablo Ave
Oakland, CA 94612-1159

Call (925) 507-0598 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X136326 (CA)

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 1376315754

Gina Marie Bullock's National Provider Identifier is 1376315754, issued on Oct 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on May 1, 2026.