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

Mrs. Karla Bullock, LCSW

Individual provider Clinical Social Worker · NPI 1457162927

Mrs. Karla Bullock, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2007, 19 years ago. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2025
Specialties on file
4
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

1015 Gammon Ln
Madison, WI 53719-2210
Phone: (608) 417-8132
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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 11523-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11523123 (WI)

Record details

NPI number1457162927
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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