Dominique Bullock
Dominique Bullock is a Clinical Social Worker in Miami, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
22790 SW 112th AveMiami, FL 33170-7602
Phone: (305) 609-1470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 23419 Sw 127th Pl, Homestead, FL 33032-9215 — (305) 609-1470
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SW25515 (FL) |
|---|
Record details
| NPI number | 1396698726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2026 |
| Last updated in NPPES | May 27, 2026 |
| Certification date | May 27, 2026 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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