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

Kendra Renee Bullocks, LCSW

Individual provider Clinical Social Worker · NPI 1356956940

Kendra Renee Bullocks, LCSW is a Clinical Social Worker in Fort Moore, Georgia. Licensed in California and Maryland. Registered with an NPI since 2020.

Licensed in
CA, MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-2273
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 95175 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26340 (MD)

Record details

NPI number1356956940
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

Other providers in Fort Moore