Mrs Julie Carpenter Bullock, MSW, LCSW | |
500 Gateway Dr, Attn: Julie Bullock, Lcsw, Clayton, NC 27520-2158 | |
(919) 488-0015 | |
(919) 488-1719 |
Full Name | Mrs Julie Carpenter Bullock |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 500 Gateway Dr, Clayton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770734477 | NPI | - | NPPES |
6007695 | Medicaid | NC | |
6008736 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006499 (North Carolina) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie Carpenter Bullock, MSW, LCSW 260 Horizon Dr, Raleigh, NC 27615-4922 Ph: (919) 488-0015 | Mrs Julie Carpenter Bullock, MSW, LCSW 500 Gateway Dr, Attn: Julie Bullock, Lcsw, Clayton, NC 27520-2158 Ph: (919) 488-0015 |
Amanda Hotchkiss, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34 Healthpark Way Ste 100, Clayton, NC 27520 Phone: 919-585-8850 Fax: 919-585-8869 | |
Ms. Cynthia Starling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2076 Nc Highway 42 W, Suite 220, Clayton, NC 27520 Phone: 919-550-3323 Fax: 919-550-3379 | |
Lave Wilson Pennywell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Sanibel St, Clayton, NC 27520 Phone: 919-410-5287 | |
Mr. Billy Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2076 Nc Highway 42 W, Suite 220, Clayton, NC 27520 Phone: 919-550-3323 Fax: 919-550-3376 | |
Lucy Lang, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Oleander Dr Ste 104, Clayton, NC 27527 Phone: 919-243-1505 Fax: 919-585-6311 | |
Mrs. Nicole E Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 N Church St Ste B, Clayton, NC 27520 Phone: 919-464-5421 | |
Laurie Lassiter Layton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Lake Point Dr, Clayton, NC 27527 Phone: 919-218-5142 |