Individual provider · Type 1 NPI

Dina Bullock, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1780230995 Active

Practice location

3020 Childrens Way # 5088
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW26432 (CA)

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 1780230995

Dina Bullock, LCSW's National Provider Identifier is 1780230995, issued on Aug 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Aug 13, 2019.