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IVY BULLOCK
NPI 1023496718
Social Worker in Wyandanch, NY

Active since May 13, 2015
240 LONG ISLAND AVE, WYANDANCH, NY 11798(631) 782-6200(631) 491-5354 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Bullock NPPES

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

IVY BULLOCK (NPI 1023496718) is an individual social worker in Wyandanch, New York, licensed in New York (083420) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1023496718
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameIVY BULLOCK
Location Address240 LONG ISLAND AVEWyandanch, NY 11798-3123
Mailing Address1 Farmingdale RoadWest Babylon, NY 11704-0704 · (631) 647-5991
Phone(631) 782-6200
Fax(631) 491-5354
Sole ProprietorNo
Enumeration DateMay 13, 2015
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1023496718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 083420
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
240 LONG ISLAND AVE, Wyandanch, NY 11798
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MICHELLE LAUREN GANSHAW LCSW
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
ASHLEY BERRY LCSW-R
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
MS. DELMA DAWN TAYLOR LMSW
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8280
SERENA MARIE MANGINO LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
HARRISON GRIMM MSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
ALLISON EBERLE LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
MS. GINGER GALVEZ LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8280
SETH DAMBROT LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200

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 Ivy Bullock's NPI number?

The NPI number for Ivy Bullock is 1023496718. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Ivy Bullock located?

Ivy Bullock practices at 240 Long Island Ave, Wyandanch, NY 11798. The listed phone number is (631) 782-6200.

What is Ivy Bullock's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Ivy Bullock was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.