Keith Bullock, LCSW, CADC
NPI 1083569354 · Clinical Social Worker · Oak Park, IL
Keith Bullock, LCSW, CADC is a Clinical Social Worker provider in Oak Park, IL (NPI 1083569354).
Provider details
- NPI number
- 1083569354
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149014572 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-02
Frequently asked questions
- What is Keith Bullock's NPI number?
- Keith Bullock's National Provider Identifier (NPI) is 1083569354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Bullock's specialty?
- Keith Bullock is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Keith Bullock located?
- Keith Bullock's practice location on file with NPPES is 607 Gunderson Ave, Oak Park, IL 60304-1421.
- What is Keith Bullock's phone number?
- The practice phone number listed in the NPPES registry for Keith Bullock is (708) 445-8194.
- Is Keith Bullock's NPI active?
- Yes — Keith Bullock's NPI (1083569354) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.