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

Mr. Mark Allen Bullock IV, LCSW, CSAC

Individual provider Clinical Social Worker · NPI 1134842354

Mr. Mark Allen Bullock IV, LCSW, CSAC is a Clinical Social Worker in Chesterfield, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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

6801 Lucy Corr Ct
Chesterfield, VA 23832-6657
Phone: (804) 748-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 Turner Rd, North Chesterfield, VA 23225-6433 — (804) 560-8882

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904014366 (VA)

Record details

NPI number1134842354
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CSAC
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 21, 2022

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