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Kimberly Bullock, LCSW
NPI 1265708564 · Clinical Social Worker · Jamaica, NY
Kimberly Bullock, LCSW is a Clinical Social Worker provider in Jamaica, NY (NPI 1265708564).
Provider details
- NPI number
- 1265708564
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 075392 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
17657 132nd Ave
Jamaica, NY 11434-5839
Phone: (718) 712-1790
Fax: (516) 292-7008
Street-level locationGet directions
Mailing address
17657 132nd Ave
Jamaica, NY 11434-5839
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2012-03-30
Frequently asked questions
- What is Kimberly Bullock's NPI number?
- Kimberly Bullock's National Provider Identifier (NPI) is 1265708564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Bullock's specialty?
- Kimberly Bullock is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kimberly Bullock located?
- Kimberly Bullock's practice location on file with NPPES is 17657 132nd Ave, Jamaica, NY 11434-5839.
- What is Kimberly Bullock's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Bullock is (718) 712-1790.
- Is Kimberly Bullock's NPI active?
- Yes — Kimberly Bullock's NPI (1265708564) is active in the NPPES registry as of the last update on 2012-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.