Sandon Barrett Bull, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6490 Issued in TN

Practice address

1 Vantage Way Ste E130
Nashville, TN 37228-1591

Phone

(615) 988-4763

Fax

(615) 285-8056

NPI assigned

Sep 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1194497248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANTAGE WAY STE E130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281591",
            "telephone_number": "615-988-4763",
            "fax_number": "615-285-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VANTAGE WAY STE E130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281591",
            "telephone_number": "615-988-4763",
            "fax_number": "615-285-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "SANDON",
        "middle_name": "BARRETT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bulger, NP
• Rivers Bulich
• Donald Lacy Bull, DDS
• Hannah Ruth Bull
• Lynea Ibidun Bull
• Anne-Drew Meggs Bullard, PA-C
• Alexandra Ellen Bullington, PA-C
• Laura Beth Bullington, PA-C
• Deann M Bullock Watkins, MD
• Beau Bullock

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.