| Blake A Bullock, LCSW | |
|
206 Spring Cir, Urbana, IL 61802-7566 | |
| (309) 540-8401 | |
| Not Available |
| Full Name | Blake A Bullock |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 206 Spring Cir, Urbana, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295505014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.024395 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake A Bullock, LCSW 206 Spring Cir, Urbana, IL 61802-7566 Ph: (309) 540-8401 | Blake A Bullock, LCSW 206 Spring Cir, Urbana, IL 61802-7566 Ph: (309) 540-8401 |
Ms. Nancy Marie Charpentier-probst, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 W University Ave, Urbana, IL 61801 Phone: 217-383-3202 Fax: 217-328-3581 | |
Meghan M Gentry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 E Colorado Ave Apt 102, Urbana, IL 61802 Phone: 217-259-2377 | |
Jamie Noelle Donsbach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 W Main St, Unit C, Urbana, IL 61801 Phone: 217-552-7774 | |
Courtney Leigh Prather, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-552-1211 | |
Mrs. Rita Gayle Seggelke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 Ira, Urbana, IL 61802 Phone: 217-737-6838 | |
Mr. George W Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 W Springfield Ave, Urbana, IL 61801 Phone: 217-239-0142 Fax: 217-239-0144 | |
Felicia Huiyan Li, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 E Main St, Urbana, IL 61802 Phone: 217-912-5249 Fax: 217-703-8337 |