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MR. MICHAEL HENRY BULLOCK MSW
NPI 1407055122
Social Worker - Clinical in Huntington Beach, CA

Active since July 12, 2007PECOS Enrolled
5762 BOLSA AVE, #107, HUNTINGTON BEACH, CA 92649(714) 898-0362 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Henry Bullock Msw NPPES

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

MR. MICHAEL HENRY BULLOCK MSW (NPI 1407055122) is an individual clinical provider in Huntington Beach, California, licensed in California (LCS5735) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1407055122
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL HENRY BULLOCKCredential: MSW
Location Address5762 BOLSA AVE, #107Huntington Beach, CA 92649-1172
Mailing Address5762 Bolsa Ave, #107Huntington Beach, CA 92649-1172 · (714) 898-0362
Phone(714) 898-0362
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateJuly 12, 2007
Last NPPES UpdateJuly 18, 2013
✔ NPI 1407055122 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 CA · LCS5735
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.
5762 BOLSA AVE, Huntington Beach, CA 92649
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Henry Bullock Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840370250
PECOS Enrollment IDI20080110000157
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 92649 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DIANA SANDRES MARTINEZ
Behavior Technician
5762 BOLSA AVE
HUNTINGTON BEACH, CA 92649
Orange County (714) 294-9943
ELLEN JENNY SLATON LCSW
Counselor (Professional)
5762 BOLSA AVE, SUITE 107
HUNTINGTON BEACH, CA 92649
Orange County (714) 898-0362
NICHOLE REILLY BCBA
Behavior Analyst
5762 BOLSA AVE, SUITE 101
HUNTINGTON BEACH, CA 92649
Orange County (714) 292-2322
ALEXIS LANDRUM
Behavior Technician
5762 BOLSA AVE
HUNTINGTON BEACH, CA 92649
Orange County (714) 294-9943
WENDY WEI
Behavior Technician
5762 BOLSA AVE
HUNTINGTON BEACH, CA 92649
Orange County (714) 294-9943
BAILEY STAFFORD
Behavior Technician
5762 BOLSA AVE
HUNTINGTON BEACH, CA 92649
Orange County (714) 292-2322
MARKELLA SIMMONS
Behavior Technician
5762 BOLSA AVE
HUNTINGTON BEACH, CA 92649
Orange County (714) 292-2322
HOWARD TSERNOV BCBA
Behavior Analyst
5762 BOLSA AVE, SUITE 101
HUNTINGTON BEACH, CA 92649
Orange County (714) 336-2017

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 Michael Bullock's NPI number?

The NPI number for Michael Bullock is 1407055122. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Michael Bullock located?

Michael Bullock practices at 5762 Bolsa Ave #107, Huntington Beach, CA 92649. The listed phone number is (714) 898-0362.

What is Michael Bullock's specialty?

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

Is Michael Bullock enrolled in Medicare?

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

What insurance does Michael Bullock accept?

Health plans from Providence Health Plan list Michael 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 Michael Bullock was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.