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

Irene Ervin Bullock, LCSW

Individual provider Clinical Social Worker · NPI 1922786268

Irene Ervin Bullock, LCSW is a Clinical Social Worker in Richmond, Virginia. Qualified in 1996, 30 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
30
Licensed in
VA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1600 Westbrook Ave Ste 134
Richmond, VA 23227-3326
Phone: (804) 292-3500
Fax: (888) 382-0230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904014900 (VA)

Record details

NPI number1922786268
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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