Individual provider · Type 1 NPI

Patricia Ann Bullick

Clinical Social Worker · Coeur D Alene, ID

NPI number 1831110568 Active

Practice location

1686 W Riverstone Dr
Coeur D Alene, ID 83814-6051

Call (208) 765-4795 Map

Fax (208) 765-2903

Mailing address

PO Box 478
Coeur D Alene, ID 83816-0478

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 26166 (ID)

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 1831110568

Patricia Ann Bullick's National Provider Identifier is 1831110568, issued on Jul 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 27, 2013.