Abril Bullock

Individual provider Active NPI Clinical Social Worker · Henderson, NC

NPI 1972239804 · NPPES record last updated Jul 25, 2022

Key facts

NPI
1972239804
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
P017475 (NC)
Practice address
2187 Spring Valley Rd
Henderson, NC 27537-9590
Phone
(919) 482-8306
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P017475NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017475 NC Yes

Addresses

Primary practice location

2187 Spring Valley Rd
Henderson, NC 27537-9590

Mailing address

2187 Spring Valley Rd
Henderson, NC 27537-9590
Phone (919) 482-8306

Other providers in Henderson, NC

All providers in Henderson, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.