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PHOENIX BULLIS-CABALLOS
NPI 1871302919
Social Worker - Clinical in Brandon, FL

Active since January 03, 2025
1106 NIKKI VIEW DR, BRANDON, FL 33511(813) 680-1367 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Jan 3, 2025 (2 updates tracked since 2025).

About Phoenix Bullis-caballos NPPES

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

PHOENIX BULLIS-CABALLOS (NPI 1871302919) is an individual clinical provider in Brandon, Florida, licensed in Florida (SW26301) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1871302919
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePHOENIX BULLIS-CABALLOS
Location Address1106 NIKKI VIEW DRBrandon, FL 33511-4868
Mailing Address10914 Le Jardin Cir Apt 102Temple Terrace, FL 33617-2810 · (813) 593-7053
Phone(813) 680-1367
Sole ProprietorNo
Enumeration DateJanuary 3, 2025
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1871302919 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 FL · SW26301
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.
1106 NIKKI VIEW DR, Brandon, FL 33511
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Other Providers at the Same Location NPPES 2

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

EVELYN PEARCE-FEARON LCSW
Social Worker (Clinical)
1106 NIKKI VIEW DR
BRANDON, FL 33511
Hillsborough County (813) 264-9955
MRS. JOSHUALIN DESHAWN DEAN MS, LMHC, NCC
Counselor (Mental Health)
1106 NIKKI VIEW DR
BRANDON, FL 33511
Hillsborough County (813) 264-9955

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 Phoenix Bullis-caballos's NPI number?

The NPI number for Phoenix Bullis-caballos is 1871302919. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Phoenix Bullis-caballos located?

Phoenix Bullis-caballos practices at 1106 Nikki View Dr, Brandon, FL 33511. The listed phone number is (813) 680-1367.

What is Phoenix Bullis-caballos'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 Phoenix Bullis-caballos was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.