Stephen M. Bull, M.DIV., MSW/LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4144 Issued in OR

Practice address

240 N Egan Ave
Burns, OR 97720-1732

Phone

(541) 501-7336

NPI assigned

Mar 8, 2007

Last updated

Feb 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1144351297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W B ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201121",
            "telephone_number": "541-501-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201732",
            "telephone_number": "541-501-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "M.DIV., MSW/LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4144",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Elliott Bleuler, CRM, PSS
• Brittany Naomi Booth, CRM, PSS
• Alec Robert Bowman, PSS
• Bettina Marini Bowman
• Andrea Jean Brown, PHARMD
• Burns Chiropractic Clinic, Inc.
• Burns Dental Group LLC
• Burns Paiute Tribe
• Burns Paiute Tribe
• Peter Cabala, D.O.

• Clinical Social Worker in Burns, OR
• Providers in Burns, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.