Individual provider · Type 1 NPI

Amy Bullock, LCSW

Clinical Social Worker · El Centro, CA

NPI number 1871997692 Active

Practice location

1073 Ross Ave Ste C
El Centro, CA 92243-4371

Fax (760) 482-5696

Mailing address

52 W Pheasant St
Heber, CA 92249-9658

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X61927 (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 1871997692

Amy Bullock, LCSW's National Provider Identifier is 1871997692, issued on Oct 22, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in El Centro, CA. The record was last updated on Oct 22, 2014.