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

Mr. Keith Bullock, LCSW, CADC

Individual provider Clinical Social Worker · NPI 1083569354

Mr. Keith Bullock, LCSW, CADC is a Clinical Social Worker in Oak Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

607 Gunderson Ave
Oak Park, IL 60304-1421
Phone: (708) 445-8194
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149014572 (IL)

Record details

NPI number1083569354
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADC
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 2, 2026

Other providers in Oak Park