MR. DAVID ALEXANDER BULLOCK (NPI# 1053960047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053960047 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALEXANDER BULLOCK |
| Practice Address |
17320 W 12 Mile Rd Ste 101 Southfield MI 48076-2102 |
| Practice Telephone | 7343303663 |
| Practice Fax Number | 2485574697 |
| Mailing Telephone | 7343303663 |
| Mailing Fax Number | 2485574697 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245427251 | David Willett Bullock | Physical Medicine & Rehabilitation | 3001 Carrington Ln, Lawrence, KS 66049-1732 | 2007-10-03 |
| 1538241542 | David A Bullock | Physical Therapist | 214 Ash St, Grandview, WA 98930-1319 | 2006-10-19 |
| 1831368802 | David Christopher Bullock | Nurse Anesthetist, Certified Registered | 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 | 2008-02-25 |
| 1255522173 | David Alban Bullock | Chiropractor | 13466 Osborne St, Arleta, CA 91331-5522 | 2007-08-06 |
| 1912058272 | David Shirley Bullock | Emergency Medicine | 140 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2007-01-15 |
| 1447322482 | David Michael Bullock | Physical Therapist | 11120 New Hampshire Ave, Suite 506, Silver Spring, MD 20904-2633 | 2006-11-14 |
| Street Address |
17320 W 12 MILE RD STE 101 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697574 | Sara Michelle Abrin | Social Worker | 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076-2102 | 2019-09-10 |
| 1104425180 | Lashawn Marie Smith | Social Worker | 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076-2102 | 2020-10-21 |
| 1104461425 | Danielle Delynn Flint | Social Worker | 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076-2102 | 2019-11-11 |
| 1174173876 | Brodie James Lobb | Social Worker | 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076-2102 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656123 | Elder Care Services | Social Worker | 21650 W 11 Mile Rd Ste 206, Southfield, MI 48076-3777 | 2020-10-14 |
| 1114545373 | Ask Health Care Services, Inc. | Social Worker | 24681 Northwestern Hwy Ste 3001, Southfield, MI 48075-2305 | 2020-07-13 |
| 1750901393 | Devin L Cage | Social Worker | 28426 Sutherland St, Southfield, MI 48076-2941 | 2020-04-23 |
| 1487273827 | Angela Johnson Johnson | Social Worker | 24915 Thorndyke St, Southfield, MI 48033-2957 | 2020-04-15 |
| 1093344152 | Cherise Caldwell | Social Worker | 17515 W 9 Mile Rd Ste 390, Southfield, MI 48075-4404 | 2020-04-02 |
| 1164053781 | Patricia Williams | Social Worker | 20300 W 12 Mile Rd, Southfield, MI 48076-5408 | 2020-02-01 |
| 1346898640 | United Health and Wellness Inc. | Social Worker | 23800 West Ten Mile Rd., Room 105, Southfield, MI 48033-3199 | 2019-08-29 |
| 1518521806 | Majestical Group | Social Worker | 20764 Knob Woods Dr, Southfield, MI 48076-4014 | 2019-04-23 |
| 1831752401 | Lisa A. Kelly | Social Worker | 23245 Brandywynne St, Southfield, MI 48033-4875 | 2019-04-18 |
| 1013480417 | Djuana Hampton-rice | Social Worker | 16099 W 11 Mile Rd Apt 102, Southfield, MI 48076-3679 | 2019-01-08 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.