ANGELIQUE BULLOCK - NPI 1619664109 - Social Worker in Raleigh, NC

Q: What is Angelique Bullock's NPI number?

The NPI number for Angelique Bullock is 1619664109. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Angelique Bullock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelique Bullock was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Angelique Bullock NPPES

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

ANGELIQUE BULLOCK (NPI 1619664109) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P019212) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1619664109

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANGELIQUE BULLOCK

Location Address1011 ROCK QUARRY RDRaleigh, NC 27610-3825

Mailing Address104 Alaverde WayGarner, NC 27529-6211 · (919) 696-8923

Phone(919) 833-3111

Sole ProprietorNo

Enumeration DateApril 24, 2023

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1619664109 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 NC · P019212

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.

1011 ROCK QUARRY RD, Raleigh, NC 27610

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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.

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