Emma Faith Bullock

Individual provider Active NPI Clinical Social Worker · Springfield, MA

NPI 1801690177 · NPPES record last updated Feb 6, 2026

Key facts

NPI
1801690177
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
622 State St
Springfield, MA 01109-4104
Phone
(413) 516-9627
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

622 State St
Springfield, MA 01109-4104

Mailing address

83 Maple St
Ellington, CT 06029-3350
Phone (774) 757-8558

Other providers in Springfield, MA

All providers in Springfield, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.