Alicia Marie Bullock, LCSWA, LCASA is a
Social Worker - Clinical based in Concord, North Carolina. Alicia Marie Bullock is licensed to practice in North Carolina (license number P007477) and her current practice location is
284 Executive Park Dr, Suite 100, Concord, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 939-1100.
NPI number for Alicia Marie Bullock is 1669729877 and her current mailing address is 10338 Samuels Way Dr, Huntersville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669729877.
Healthcare Provider's Profile
| Full Name | Alicia Marie Bullock |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 284 Executive Park Dr, Concord, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669729877
- Provider Enumeration Date: 08/07/2012
- Last Update Date: 08/12/2015
Medical Identifiers
Medical identifiers for Alicia Marie Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669729877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P007477 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2976A (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia Marie Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alicia Marie Bullock, LCSWA, LCASA
10338 Samuels Way Dr,
Huntersville, NC 28078-7629
Ph: (252) 799-7071 | Alicia Marie Bullock, LCSWA, LCASA
284 Executive Park Dr, Suite 100,
Concord, NC 28025-1831
Ph: (704) 939-1100 |
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