Individual provider · Type 1 NPI

Sonja P. Bullock, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1992093215 Active

Practice location

508 Cedarwood Dr
Jackson, MS 39212-2220

Fax (601) 371-0905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC4937 (MS)

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 1992093215

Sonja P. Bullock, LCSW's National Provider Identifier is 1992093215, issued on Jul 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Jul 20, 2011.