Kathleen Bulson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20948 Issued in MD

Practice address

1012 North Point Rd
Baltimore, MD 21224-3338

Phone

(443) 216-4800

Fax

(443) 216-4801

NPI assigned

Jun 14, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639431687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 NORTH POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243338",
            "telephone_number": "443-216-4800",
            "fax_number": "443-216-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 NORTH POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243338",
            "telephone_number": "443-216-4800",
            "fax_number": "443-216-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Parkview Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615215",
            "country_code": "US",
            "telephone_number": "718-829-7744",
            "fax_number": "718-829-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Parkview Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104615215",
            "country_code": "US",
            "telephone_number": "718-829-7744",
            "fax_number": "718-829-7745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULSON",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Bullis, M.A., CCC-SLP
• Avery Leigh Bullock
• Eddye J Bullock, MD
• Keishae Bullock
• Victor R Bullock, PSY.D.
• Laura Bumba, CRNP
• Liana Bumbrey, PA
• Denifah Caroline Bun-Tejan
• Tiffany Bunch
• William Bundesen III, LCSW-C

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.