Provider Profile

Blake A. Bullock, LCSW

Unclaimed Profile

About Blake Bullock

No biography has been added yet. Is this you? Claim this profile to add one.

Education & Training

School Other Graduated: 2017

Specialty

Clinical Social Worker (Primary)

Credentials & Licensing

IL license149.024395
NPI1295505014
NPI issued01/03/2024

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Blake A. Bullock?

Blake A. Bullock is a clinical social worker in Evanston, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Blake A. Bullock's address?

Blake A. Bullock is listed at 708 Church St Ste 223, Evanston, IL 60201. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Blake A. Bullock?

The number on file is (312) 620-0396. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Blake A. Bullock's NPI number?

Blake A. Bullock's National Provider Identifier is 1295505014. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Blake A. Bullock train?

Blake A. Bullock attended Other, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How long has Blake A. Bullock been practicing?

Blake A. Bullock has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

Has Blake A. Bullock confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Blake A. Bullock. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.