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Blake A Bullock, LCSW
Clinical Social Worker in Urbana, Illinois
NPI 1295505014

Blake A Bullock is a Clinical Social Worker based in Urbana, IL and is specialized in Clinical. Blake A Bullock practices in Urbana, IL and has the professional credentials of LCSW. The NPI Number for Blake A Bullock is 1295505014 and holds a License No. 149.024395 (Illinois).

The current practice location address for Blake A Bullock is 206 Spring Cir, Urbana, IL and can be reached out via phone at 309-540-8401.

Location: 206 Spring Cir, Urbana, IL, 61802-7566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295505014
Provider Name
Blake A Bullock
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
206 Spring Cir, Urbana, IL, 61802-7566
Phone Number
309-540-8401
Fax Number
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 Spring Cir
City
Urbana
State
Illinois
Zip
61802-7566
Phone Number
309-540-8401
Fax Number
person
Provider Business Mailing Address Details
Address
206 Spring Cir
City
Urbana
State
Illinois
Zip
61802-7566
Phone Number
309-540-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149.024395 (Illinois)
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.
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