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

Kyle Bullock, LCSW

Individual provider Clinical Social Worker · NPI 1902189806

Kyle Bullock, LCSW is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

405 N Wabash Ave Unit 1207
Chicago, IL 60611-5656
Phone: (562) 400-3838
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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 149.022014 (IL)

Record details

NPI number1902189806
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESMay 2, 2020
Certification dateMay 2, 2020
Mailing address405 N Wabash Ave Unit 1207, Chicago, IL 60611-5656

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