Susan H. Bullard, Lisw-CP, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8752 Issued in SC

Legal business name

SUSAN H. BULLARD, LISW-CP, LLC

Practice address

1624 Ebenezer Rd
Rock Hill, SC 29732-1809

Phone

(803) 599-8869

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Susan H Bullard, LISW-CPNPI 1417131814

Title

Clinical Social Worker

Phone

(803) 599-8869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan H Bullard, LMSW

  • Social Worker
  • Fort Mill, SC
  • NPI 1417131814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1760923551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297160746",
            "telephone_number": "803-599-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321809",
            "telephone_number": "803-599-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H. BULLARD, LISW-CP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "803-599-8869",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohana Sai Mounika Sunku
• Sunshine Pediatrics
• Tingnong Supaswud-Franks, MD
• Laura R. Surike, CRNA
• Elizabeth Ann Surratt, LISW-CP
• Susan M Collins DMD PA
• Stacey Dawn Sutherland, LPC-A
• Angela A Sutton
• Meredith Manning Sutton, AGACNP
• Kelly G Svedberg, PA-C

• Clinical Social Worker in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.