Individual provider · Type 1 NPI

Jefferson Lee Bullard, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1760908586 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (267) 738-6526 Map

Fax (215) 563-0748

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW019448 (PA)

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 1760908586

Jefferson Lee Bullard, LCSW's National Provider Identifier is 1760908586, issued on Aug 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 4, 2026.