Mr Michael Henry Bullock, MSW | |
5762 Bolsa Ave, #107, Huntington Beach, CA 92649-1172 | |
(714) 898-0362 | |
Not Available |
Full Name | Mr Michael Henry Bullock |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5762 Bolsa Ave, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407055122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS5735 (California) | Primary |
Entity Name | Associated Therapists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801977319 PECOS PAC ID: 8921279068 Enrollment ID: O20110921000045 |
Mailing Address | Practice Location Address |
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Mr Michael Henry Bullock, MSW 5762 Bolsa Ave, #107, Huntington Beach, CA 92649-1172 Ph: (714) 898-0362 | Mr Michael Henry Bullock, MSW 5762 Bolsa Ave, #107, Huntington Beach, CA 92649-1172 Ph: (714) 898-0362 |
Juan Roberto Valenzuela, ASW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17991 Baron Cir Apt 3, Huntington Beach, CA 92647 Phone: 951-237-8343 | |
Brenda Marily Ramirez, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9451 Indianapolis Ave, Huntington Beach, CA 92646 Phone: 714-593-3803 | |
Alicia Zide, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2100 Main St Ste 300, Huntington Beach, CA 92648 Phone: 714-252-9415 Fax: 714-963-8407 | |
Kelli Rose Ezell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8210 Constantine Dr Apt 25, Huntington Beach, CA 92646 Phone: 714-401-1796 | |
Miss Michele Marie Lorenz, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5200 Warner Ave., Suite 208, Huntington Beach, CA 92649 Phone: 714-274-9573 Fax: 714-274-9654 | |
Dr. Carole Anne Harris, LCSW, PSY.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18381 Goldenwest St, Huntington Beach, CA 92648 Phone: 714-842-7777 Fax: 714-842-7774 | |
Cristina E Freese, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18800 Delaware St, Suite 308, Huntington Beach, CA 92648 Phone: 714-917-9933 |