KYLE BULLOCK LCSW
NPI 1902189806
Social Worker - Clinical in Chicago, IL

Active since September 27, 2011
405 N WABASH AVE UNIT 1207, CHICAGO, IL 60611(562) 400-3838 Get Directions Write a Review

NPPES record last updated: May 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Bullock Lcsw NPPES

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

KYLE BULLOCK LCSW (NPI 1902189806) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.022014) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1902189806
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKYLE BULLOCKCredential: LCSW
Location Address405 N WABASH AVE UNIT 1207Chicago, IL 60611-5656
Mailing Address405 N Wabash Ave Unit 1207Chicago, IL 60611-5656 · (562) 400-3838
Sole ProprietorNo
Enumeration DateSeptember 27, 2011
Last NPPES UpdateMay 2, 2020
NPPES CertifiedMay 2, 2020
NPI 1902189806 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 IL · 149.022014
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.
405 N WABASH AVE UNIT 1207, Chicago, IL 60611

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 Kyle Bullock's NPI number?

The NPI number for Kyle Bullock is 1902189806. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Kyle Bullock located?

Kyle Bullock practices at 405 N Wabash Ave Unit 1207, Chicago, IL 60611. The listed phone number is (562) 400-3838.

What is Kyle Bullock'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 Kyle Bullock was last updated on May 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.