Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Marie Bullock, LCSWA, LCASA

Individual provider Counselor · NPI 1669729877

Alicia Marie Bullock, LCSWA, LCASA is a Counselor in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
3

Practice location Address checks out

284 Executive Park Dr Ste 100
Concord, NC 28025-1831
Phone: (704) 939-1100
Fax: (704) 939-1173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P007477 (NC)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2976A (NC)

Record details

NPI number1669729877
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCASA
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 12, 2015

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