Susan Bullock, LICSW
Social Worker, Clinical in Burlington, Massachusetts
1366501389- Practice location
- Lahey Clinic, 41 Mall RD., Burlington, MA 01805-0001
- Phone
- 781-744-8806
- Fax
- 781-744-5235
- Last updated
- April 12, 2012
Susan Bullock is a Social Worker, Clinical based in Burlington, MA. Susan Bullock practices in Burlington, MA and has the professional credentials of LICSW. The NPI Number for Susan Bullock is 1366501389 and holds a License No. 213231 (MA). The current practice location address for Susan Bullock is Lahey Clinic, 41 Mall RD., Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8806 and via fax at 781-744-5235.
Provider Profile Details
- NPI Number
- 1366501389
- Provider Name
- Susan Bullock
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Lahey Clinic, 41 Mall RD., Burlington, MA 01805-0001
- Phone Number
- 781-744-8806
- Fax Number
- 781-744-5235
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- -- Susan Ferguson, LICSW (Former Name)
- Provider Enumeration Date
- December 6, 2006
- Last Update Date
- April 12, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Lahey Clinic
41 Mall RD.
Burlington, MA 01805-0001 - City
- Burlington
- State
- Massachusetts
- Zip
- 01805-0001
- Phone Number
- 781-744-8806
- Fax Number
- 781-744-5235
Provider Business Mailing Address Details
- Address
- Lahey Clinic
41 Mall RD.
Burlington, MA 01805-0001 - City
- Burlington
- State
- MA
- Zip
- 01805-0001
- Phone Number
- 781-744-8806
- Fax Number
- 781-744-5235
License Information
- License Number (1)
- 213231
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 114566
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Burlington, MA
View all Social Worker, Clinical providers in Burlington →- Ainsley W BroderickSocial Worker, Clinical · NPI 1033087226
- Alexandra M MillerSocial Worker, Clinical · NPI 1184850265
- Alison O'Connell, LICSWSocial Worker, Clinical · NPI 1952560393
- Amanda J BaillargeonSocial Worker, Clinical · NPI 1770924425
- Angela LombardoSocial Worker, Clinical · NPI 1710640099
- Ariana D Viscione, MSWSocial Worker, Clinical · NPI 1336521392
Frequently Asked Questions
What is the NPI number of Susan Bullock, LICSW?
The NPI number of Susan Bullock, LICSW is 1366501389. It was assigned on December 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Susan Bullock, LICSW?
Susan Bullock, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213231.
Where does Susan Bullock, LICSW practice?
The practice location is Lahey Clinic, 41 Mall RD., Burlington, MA 01805-0001. The office can be reached at 781-744-8806 (phone) or 781-744-5235 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366501389 directly on the NPPES registry website.