Individual provider · Type 1 NPI

Joella M. Bullock, LCSW

Clinical Social Worker · The Dalles, OR

NPI number 1407904097 Active

Practice location

419 E 7th St, Room 207
The Dalles, OR 97058-2676

Fax (541) 296-4792

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	L2156 (OR)

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 1407904097

Joella M. Bullock, LCSW's National Provider Identifier is 1407904097, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in The Dalles, OR. The record was last updated on Jul 9, 2007.