Individual provider · Type 1 NPI
Katrina Kay Bullard
Clinical Social Worker · Palm Desert, CA
Practice location
37596 College Dr, Unit 101
Palm Desert, CA 92211-2928
Mailing address
4647 Zion Ave, Rm 2145
San Diego, CA 92120-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 68008 (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 1811221823
Katrina Kay Bullard's National Provider Identifier is 1811221823, issued on Sep 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palm Desert, CA. The record was last updated on Dec 16, 2021.