Individual provider Active NPI

Josephine Bulkley, M.S.W.,J.D.

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1558569863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303585 Issued in DC
Practice address
5028 Wisconsin Ave NW
Suite 303
Washington, DC 20016-4118
Phone
(202) 422-3553
Fax
(301) 320-5860
NPI assigned
Jul 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC303585 DC Primary

Addresses

Primary practice location

5028 Wisconsin Ave NW
Suite 303
Washington, DC 20016-4118

Mailing address

5028 Wisconsin Ave NW
Suite 303
Washington, DC 20016-4118
Phone (202) 422-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000166 DC Practitioner - Clinical Social Worker 2264769678 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5028 Wisconsin Ave NW
Suite 303
Washington, DC 20016-4118
Phone (202) 422-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

NPI Registry JSON

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558569863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 WISCONSIN AVE NW",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164118",
            "telephone_number": "202-422-3553",
            "fax_number": "301-320-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 WISCONSIN AVE NW",
            "address_2": "SUITE 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164118",
            "telephone_number": "202-422-3553",
            "fax_number": "301-320-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULKLEY",
        "first_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.,J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.