JENNIFER ASHBY BULLOCK (NPI# 1326226465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326226465 |
| Entity Type | Individual |
| Full Name | JENNIFER ASHBY BULLOCK |
| Credential | LCSW |
| Practice Address |
1318 Broad St Durham NC 27705-3533 |
| Mailing Address |
6220 Cabin Branch Dr Durham NC 27712-9089 |
| Practice Telephone | 9197410726 |
| Practice Fax Number | 9194798172 |
| Mailing Telephone | 9197410726 |
| Mailing Fax Number | 9194798172 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C004353 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6002827 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407287733 | Jennifer Tessie Bullock | Social Worker | 425 C St Ne, Peabody Elementary/dc Public Schools (dcps), Washington, DC 20002-5817 | 2013-12-12 |
| 1871747295 | Jennifer Bullock | Counselor | 245 S 16th St, Philadelphia, PA 19102-3303 | 2008-11-12 |
| 1346287976 | Jennifer Zane Bullock | Allergy & Immunology | 170 Northwoods Blvd Ste 120, Columbus, OH 43235-4711 | 2006-06-01 |
| 1164907986 | Jennifer Sullivan Bullock | Physical Therapist | 622 Mountain Village Blvd Ste 102, Mountain Village, CO 81435-9529 | 2018-09-27 |
| 1174908131 | Jennifer Bullock | Nurse Practitioner | 2780 E Barnett Rd, 200, Medford, OR 97504-8674 | 2015-07-20 |
| 1548685852 | Jennifer Bullock | Specialist | 7550 Forest Rd, Cincinnati, OH 45255-4307 | 2014-02-24 |
| 1609022813 | Jennifer Michelle Bullock | Social Worker | 4300 W 7th St, Little Rock, AR 72205-5446 | 2008-08-07 |
| Street Address |
1318 BROAD ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055175 | Nerine E. Tatham | Psychiatry & Neurology | 1318 Broad St, Durham, NC 27705-3533 | 2006-05-31 |
| 1356782692 | Sarah Faber Cameron | Psychologist | 1318 Broad St, Durham, NC 27705-3533 | 2013-07-15 |
| 1619187366 | Diane Elizabeth Meglin | Social Worker | 1318 Broad St, Durham, NC 27705-3533 | 2007-05-23 |
| 1982728150 | Katherine J Johnson | Social Worker | 1318 Broad St, Durham, NC 27705-3533 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.