Individual provider · Type 1 NPI

Irene Ervin Bullock, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1922786268 Active

Practice location

1600 Westbrook Ave Ste 134
Richmond, VA 23227-3326

Fax (888) 382-0230

Mailing address

7331 Rivendell Ter
North Chesterfield, VA 23234-5970

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904014900 (VA)

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 1922786268

Irene Ervin Bullock, LCSW's National Provider Identifier is 1922786268, issued on Jul 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Mar 27, 2024.