Individual provider · Type 1 NPI
Robert Austin Bulloch, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
350 E 400 S # 318
Salt Lake City, UT 84111-2993
Fax (801) 931-2173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 11615012-3501 (UT) |
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 1487258299
Robert Austin Bulloch, LCSW's National Provider Identifier is 1487258299, issued on Nov 23, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 5, 2025.