Individual provider · Type 1 NPI

Michael Craig Bullock, MSW, LCSW

Clinical Social Worker · Augusta, GA

NPI number 1609005446 Active

Practice location

950 15th St
Augusta, GA 30901-2608

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CSW005575 (GA)
Clinical Social Worker	1041C0700X	11196 (SC)

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 1609005446

Michael Craig Bullock, MSW, LCSW's National Provider Identifier is 1609005446, issued on Jul 14, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, GA. The record was last updated on Jan 5, 2016.