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MS. THERESA ALICE BULLOCK M.S.W.
NPI 1023381613
Social Worker - Clinical in Indianapolis, IN

Active since February 14, 2012
526 N ORIENTAL ST, INDIANAPOLIS, IN 46202(336) 414-2508 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 23, 2020, May 3, 2019, Feb 10, 2017 (3 updates tracked since 2017).

About Ms. Theresa Alice Bullock M.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA ALICE BULLOCK M.S.W. (NPI 1023381613) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34008388A) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1023381613
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERESA ALICE BULLOCKCredential: M.S.W.
Location Address526 N ORIENTAL STIndianapolis, IN 46202-3559
Mailing Address526 N Oriental StIndianapolis, IN 46202-3559 · (336) 414-2508
Phone(336) 414-2508
Sole ProprietorNo
Enumeration DateFebruary 14, 2012
Last NPPES UpdateMarch 23, 20203 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
✔ NPI 1023381613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008388A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
526 N ORIENTAL ST, Indianapolis, IN 46202
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Other Identifiers 1

Medicaid1023381613NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Bullock's NPI number?

The NPI number for Theresa Bullock is 1023381613. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Theresa Bullock located?

Theresa Bullock practices at 526 N Oriental St, Indianapolis, IN 46202. The listed phone number is (336) 414-2508.

What is Theresa Bullock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Theresa Bullock accept?

Health plans from Anthem Blue Cross and Blue Shield list Theresa Bullock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Bullock was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.