Individual provider · Type 1 NPI

Dominique Jaleh Bullock, LSW

Social Worker · Eatontown, NJ

NPI number 1811862998 Active

Practice location

613 Hope Rd
Eatontown, NJ 07724-1278

Call (732) 544-4544 Map

Mailing address

27 Morningside Ave
Keansburg, NJ 07734-1939

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X44SL07062700 (NJ)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1811862998

Dominique Jaleh Bullock, LSW's National Provider Identifier is 1811862998, issued on Oct 8, 2025. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Eatontown, NJ. The record was last updated on Oct 8, 2025.