Individual provider · Type 1 NPI

Nicole Wright Bullock, LICSW

Clinical Social Worker · Providence, RI

NPI number 1699035808 Active

Practice location

55 Hope St
Providence, RI 02906-2001

Call (401) 331-1350 Map

Fax (401) 277-3366

Mailing address

134 Thurbers Ave
Providence, RI 02905-4754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW01357 (RI)
Clinical Social Worker Primary 1041C0700XISW02480 (RI)

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 1699035808

Nicole Wright Bullock, LICSW's National Provider Identifier is 1699035808, issued on May 22, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Feb 18, 2015.