MARTHA S BULLOCK MSW NPI 1013404466

NPI Information

NPI: 1013404466
Provider Name: MARTHA S BULLOCK, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
30 PARK ST APT 1
BROOKLINE, MA
ZIP 02446
Phone: (161) 782-7855
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Martha S Bullock, MSW is a mental health counselor in Brookline, MA. Martha S Bullock, MSW NPI is 1013404466. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 PARK ST APT 1
BROOKLINE, MA
ZIP 02446-257
Phone: (161) 782-7855

The enumeration date for this NPI number is 4/20/2018 and was last updated on 4/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	100042	MASSACHUSETTS	Yes
2	104100000X	Social Worker		100042	MASSACHUSETTS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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