| Mr Scott K Bullock, MSW, LISW | |
|
700 E 1st St, Dayton, OH 45402-1303 | |
| (937) 641-4040 | |
| (937) 641-3066 |
| Full Name | Mr Scott K Bullock |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 700 E 1st St, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326288507 | NPI | - | NPPES |
| 0002716 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 0008810-S (Ohio) | Primary |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott K Bullock, MSW, LISW Po Box 933421, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Mr Scott K Bullock, MSW, LISW 700 E 1st St, Dayton, OH 45402-1303 Ph: (937) 641-4040 |
Caresse Boyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7031 Corporate Way Ste 103, Dayton, OH 45459 Phone: 937-619-9089 Fax: 937-265-6028 | |
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944 | |
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 | |
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134 | |
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084 | |
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511 | |
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 |