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KORI BULLOCK CSW
NPI 1053158113
Social Worker - Clinical in Albany, NY

Active since July 15, 2024PECOS Enrolled
75 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 549-6500 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kori Bullock Csw NPPES

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

KORI BULLOCK CSW (NPI 1053158113) is an individual clinical provider in Albany, New York, licensed in New York (081924-1) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053158113
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKORI BULLOCKCredential: CSW
Location Address75 NEW SCOTLAND AVEAlbany, NY 12208-3409
Mailing Address75 New Scotland AveAlbany, NY 12208-3409 · (518) 549-6500
Phone(518) 549-6500
Sole ProprietorNo
Enumeration DateJuly 15, 2024
NPPES CertifiedDecember 13, 2021
✔ NPI 1053158113 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 NY · 081924-1
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.
75 NEW SCOTLAND AVE, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kori Bullock Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DENISE AYERS
Nurse Practitioner
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 447-9611
MICHELE KOSEK
Rehabilitation Counselor
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6000
AQUILA MCFARLANE RN
Registered Nurse (Psychiatric/Mental Health)
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6000
DANA MARIE DESANTIS RN
Registered Nurse
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6948
KETHIA YUMUSAK
Registered Nurse
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6611
MS. COURTNEY ELIZABETH CHILTON LMSW
Social Worker
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6500
THERESA APPIAH OWARE
Registered Nurse (Psychiatric/Mental Health, Adult)
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 549-6800
DANIEL GABRIELS
Psychiatry & Neurology (Psychiatry)
75 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 447-9611

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 Kori Bullock's NPI number?

The NPI number for Kori Bullock is 1053158113. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Kori Bullock located?

Kori Bullock practices at 75 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 549-6500.

What is Kori Bullock's specialty?

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

Is Kori Bullock enrolled in Medicare?

Yes. Kori Bullock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kori Bullock was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.