Jefferson Lee Bullard, LCSW
Jefferson Lee Bullard, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.
- Licensed in
- PA
- In the registry since
- 2017
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone: (267) 738-6526
Fax: (215) 563-0748
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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 CW019448 (PA) |
|---|
Record details
| NPI number | 1760908586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | March 4, 2026 |
| Certification date | March 4, 2026 |
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