IndividualActive
Ivy Bullock
NPI 1023496718 · Social Worker · Wyandanch, NY
Ivy Bullock is a Social Worker provider in Wyandanch, NY (NPI 1023496718).
Provider details
- NPI number
- 1023496718
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 083420 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 Long Island Ave
Wyandanch, NY 11798-3123
Phone: (631) 782-6200
Fax: (631) 491-5354
Street-level locationGet directions
Mailing address
1 Farmingdale Road
West Babylon, NY 11704-0704
Registry dates
- Enumerated
- 2015-05-13
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Frequently asked questions
- What is Ivy Bullock's NPI number?
- Ivy Bullock's National Provider Identifier (NPI) is 1023496718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Bullock's specialty?
- Ivy Bullock is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Ivy Bullock located?
- Ivy Bullock's practice location on file with NPPES is 240 Long Island Ave, Wyandanch, NY 11798-3123.
- What is Ivy Bullock's phone number?
- The practice phone number listed in the NPPES registry for Ivy Bullock is (631) 782-6200.
- Is Ivy Bullock's NPI active?
- Yes — Ivy Bullock's NPI (1023496718) is active in the NPPES registry as of the last update on 2022-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.