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

MS. Theresa Alice Bullock, MSW

Individual provider Clinical Social Worker · NPI 1023381613

MS. Theresa Alice Bullock, MSW is a Clinical Social Worker in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

526 N Oriental St
Indianapolis, IN 46202-3559
Phone: (336) 414-2508
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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 34008388A (IN)

Record details

NPI number1023381613
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2012
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

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