KENDRA RENEE BULLOCKS LCSW
NPI 1356956940
Social Worker - Clinical in Fort Moore, GA

Active since September 10, 2020
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-2273 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2023, Sep 10, 2020 (2 updates tracked since 2020).

About Kendra Renee Bullocks Lcsw NPPES

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

KENDRA RENEE BULLOCKS LCSW (NPI 1356956940) is an individual clinical provider in Fort Moore, Georgia, licensed in California (95175) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1356956940
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA RENEE BULLOCKSCredential: LCSW
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102
Sole ProprietorNo
Enumeration DateSeptember 10, 2020
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1356956940 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 CA · 95175 Licensed in MD · 26340
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.
6600 VAN AALST BLVD, Fort Moore, GA 31905

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.

Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905

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 Kendra Bullocks's NPI number?

The NPI number for Kendra Bullocks is 1356956940. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Kendra Bullocks located?

Kendra Bullocks practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-2273.

What is Kendra Bullocks's specialty?

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

When was this NPI record last updated?

The NPPES record for Kendra Bullocks was last updated on October 4, 2023. 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.