Individual provider · Type 1 NPI

Alicia Marie Bullock, LCSWA, LCASA

Clinical Social Worker · Concord, NC

NPI number 1669729877 Active

Practice location

284 Executive Park Dr, Suite 100
Concord, NC 28025-1831

Call (704) 939-1100 Map

Fax (704) 939-1173

Mailing address

10338 Samuels Way Dr
Huntersville, NC 28078-7629

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XP007477 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X2976A (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 1669729877

Alicia Marie Bullock, LCSWA, LCASA's National Provider Identifier is 1669729877, issued on Aug 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Aug 12, 2015.