EMILY JEAN BULLARD LCSW
NPI 1265004378
Social Worker - Clinical in Boise, ID

Active since July 16, 2021Opted out of Medicare · through Dec 12, 2027
6550 W EMERALD ST STE 112, BOISE, ID 83704(208) 342-6300(208) 342-6301 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Jul 16, 2021 (2 updates tracked since 2021).

About Emily Jean Bullard Lcsw NPPES

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

EMILY JEAN BULLARD LCSW (NPI 1265004378) is an individual clinical provider in Boise, Idaho, licensed in Alaska (231795) and active in the NPI registry since July 2021. She has opted out of Medicare through December 12, 2027.

NPPES Registry Identity

NPI1265004378
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY JEAN BULLARDCredential: LCSW
Location Address6550 W EMERALD ST STE 112Boise, ID 83704-8780
Mailing Address1917 Abbott Rd Ste 101Anchorage, AK 99507-3449 · (877) 840-6956 · Fax (619) 383-6701
Fax(208) 342-6301
Sole ProprietorNo
Enumeration DateJuly 16, 2021
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1265004378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in AK · 231795 Licensed in ID · 41032 Licensed in FL · 18341
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.
6550 W EMERALD ST STE 112, Boise, ID 83704

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Emily Jean Bullard Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 12, 2025 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2025
Opt-Out In Effect ThroughDecember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Peer Specialist
6550 W EMERALD ST STE 112
BOISE, ID 83704
Case Management
6550 W EMERALD ST STE 112
BOISE, ID 83704
Community/Behavioral Health
6550 W EMERALD ST STE 112
BOISE, ID 83704
Counselor (Mental Health)
6550 W EMERALD ST STE 112
BOISE, ID 83704
Social Worker
6550 W EMERALD ST STE 112
BOISE, ID 83704

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 Emily Bullard's NPI number?

The NPI number for Emily Bullard is 1265004378. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Emily Bullard located?

Emily Bullard practices at 6550 W Emerald St Ste 112, Boise, ID 83704. The listed phone number is (208) 342-6300.

What is Emily Bullard's specialty?

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

Is Emily Bullard enrolled in Medicare?

No. Emily Bullard has opted out of Medicare through December 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Emily Bullard accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Emily Bullard 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 Emily Bullard was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.