IndividualActive
Amy Bullock, LCSW
NPI 1871997692 · Clinical Social Worker · El Centro, CA
Provider details
- NPI number
- 1871997692
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61927 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 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
1073 Ross Ave Ste C
El Centro, CA 92243-4371
Phone: (760) 540-4335
Fax: (760) 482-5696
Street-level locationGet directions
Mailing address
52 W Pheasant St
Heber, CA 92249-9658
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.