MICHAEL CRAIG BULLOCK (NPI# 1609005446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609005446 |
| Entity Type | Individual |
| Full Name | MICHAEL CRAIG BULLOCK |
| Credential | MSW, LCSW |
| Practice Address |
950 15th St Augusta GA 30901-2608 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
11196 | SC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005575 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295109890 | Michael Bullock | Social Worker | 150 Cross St, Akron, OH 44311-1026 | 2015-11-19 |
| 1407055122 | Michael Henry Bullock | Social Worker | 5762 Bolsa Ave, #107, Huntington Beach, CA 92649-1172 | 2007-07-12 |
| 1669458758 | Michael S Bullock | Radiology | 520 Country Club Pkwy, Eugene, OR 97401-6036 | 2005-12-20 |
| Street Address |
950 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649237751 | Augusta Vamc | Department of Veterans Affairs (VA) Pharmacy | 950 15th St, Augusta, GA 30901-2608 | 2006-05-01 |
| 1245848944 | Francis Castillo | Student in an Organized Health Care Education/Training Program | 950 15th St, Augusta, GA 30901-2608 | 2020-07-20 |
| 1801413737 | Ari Redcross | Dietitian, Registered | 950 15th St, Augusta, GA 30901-2608 | 2020-06-26 |
| 1104448893 | Mary Elizabeth Coward | Recreation Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-05-15 |
| 1770116444 | Kristen Noelle Lirette | Physical Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-02-20 |
| 1003449075 | Melissa Sue Williams | Physical Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-02-19 |
| 1013549989 | Daniell S Ruth | Registered Nurse | 950 15th St, Augusta, GA 30901-2608 | 2020-02-10 |
| 1285265215 | Elanie C Soto | Registered Nurse | 950 15th St, Augusta, GA 30901-2608 | 2020-01-29 |
| 1194363119 | Kinya Warren | Physician Assistant | 950 15th St, Augusta, GA 30901-2608 | 2019-12-20 |
| 1750930137 | Tanya A Young | Nurse Practitioner | 950 15th St, Augusta, GA 30901-2608 | 2019-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| 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 |
|---|---|---|---|---|
| 1043843097 | Jaquay Robinson | Social Worker | 4389 W Maysfield Dr Ste 100, Augusta, GA 30909-9648 | 2020-02-18 |
| 1023640570 | Sara Mae Mcgrane | Social Worker | 1 Va Ctr Unit 63, Augusta, ME 04330-6719 | 2020-02-12 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
| 1205394160 | Natalie Bryan, Lcsw L.L.C. | Social Worker | 104 Greene St, Augusta, GA 30901-1609 | 2019-03-08 |
| 1669943833 | Meredith E Mccabe | Social Worker | 12 Shuman Ave Ste 8, Augusta, ME 04330-6020 | 2018-12-16 |
| 1629544218 | Rebecca Anne Cornell Du Houx | Social Worker | 96 Albee Rd, Augusta, ME 04330-8530 | 2018-10-22 |
| 1295265569 | Ashley Elizabeth Osborne | Social Worker | 2050 Walton Way Ste 100, Augusta, GA 30904-2305 | 2017-06-19 |
| 1548703630 | Andrew Levine | Social Worker | 1206 Anthony Rd, Augusta, GA 30904-4402 | 2016-11-22 |
| 1790157931 | Vicki Bailey | Social Worker | 322 Indian Trl, Augusta, GA 30907-3796 | 2015-10-27 |
| Find all providers in AUGUSTA | ||||
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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.