Sarah J Bullock
Clinical Social Worker
645 S Rogers St
Bloomington
, Indiana 47403-2353
Sarah J Bullock
Clinical Social Worker
645 S Rogers St
Bloomington
, Indiana 47403-2353
(812) 378-8367
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Sarah J Bullock
- 645 S Rogers St
- Bloomington, IN
- Zip : 47403-2353
- Fax : (812) 378-8367
- Phone : (812) 339-1691
Second Address
- Sarah J Bullock
- 645 S Rogers St
- Bloomington, IN
- Zip : 47403-2353
- Fax : (812) 378-8367
- Phone : (812) 339-1691
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 34006094A | IN |
National Provider Identifier
| NPI | 1003116443 |
|---|---|
| Provider Name | Sarah J Bullock |
| First Address | Bloomington, IN 47403-2353 |
| Second Address | Bloomington, IN 47403-2353 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2010 |
| Last Update Date | 02/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.