Active NPI
Geoffrey Earle Bullock, LCSW
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1154587228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001607
- Practice address
- 16 Overbrook Rd
Asheville, NC 28805-2317 - Phone
- (828) 686-9601
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001607 | NC | Primary |
Addresses
Primary practice location
16 Overbrook Rd
Asheville, NC 28805-2317
Mailing address
PO Box 958
Swannanoa, NC 28778-0958
Phone (828) 686-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 25, 2024 through May 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001607 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1154587228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 958",
"city": "SWANNANOA",
"state": "NC",
"postal_code": "287780958",
"telephone_number": "828-686-9601",
"fax_number": "828-686-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OVERBROOK RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052317",
"telephone_number": "828-686-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "GEOFFREY",
"middle_name": "EARLE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.