Dominique J Bullock, LSW
Social Worker in Eatontown, New Jersey
1811862998- Practice location
- 613 Hope RD, Eatontown, NJ 07724-1278
- Phone
- 732-544-4544
- Fax
- —
- Last updated
- October 8, 2025
Dominique Jaleh Bullock is a Social Worker based in Eatontown, NJ. Dominique Jaleh Bullock practices in Eatontown, NJ and has the professional credentials of LSW. The NPI Number for Dominique Jaleh Bullock is 1811862998 and holds a License No. 44SL07062700 (NJ). The current practice location address for Dominique Jaleh Bullock is 613 Hope RD, Eatontown, NJ 07724-1278 and can be reached out via phone at 732-544-4544.
Provider Profile Details
- NPI Number
- 1811862998
- Provider Name
- Dominique Jaleh Bullock
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 613 Hope RD, Eatontown, NJ 07724-1278
- Phone Number
- 732-544-4544
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 8, 2025
- Last Update Date
- October 8, 2025
- Certification Date
- October 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 613 Hope RD
Eatontown, NJ 07724-1278 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1278
- Phone Number
- 732-544-4544
Provider Business Mailing Address Details
- Address
- 27 Morningside Ave
Keansburg, NJ 07734-1939 - City
- Keansburg
- State
- NJ
- Zip
- 07734-1939
License Information
- License Number
- 44SL07062700
- License State
- NJ
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Eatontown, NJ
View all Social Workers in Eatontown →Frequently Asked Questions
What is the NPI number of Dominique J Bullock, LSW?
The NPI number of Dominique J Bullock, LSW is 1811862998. It was assigned on October 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Dominique J Bullock, LSW?
Dominique J Bullock, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL07062700.
Where does Dominique J Bullock, LSW practice?
The practice location is 613 Hope RD, Eatontown, NJ 07724-1278. The office can be reached at 732-544-4544 (phone).
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 1811862998 directly on the NPPES registry website.