Individual provider · Type 1 NPI

Angelique Bullock

Clinical Social Worker · Raleigh, NC

NPI number 1619664109 Active

Practice location

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Call (919) 833-3111 Map

Mailing address

104 Alaverde Way
Garner, NC 27529-6211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP019212 (NC)

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 1619664109

Angelique Bullock's National Provider Identifier is 1619664109, issued on Apr 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jun 28, 2023.