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

Individual provider Clinical Social Worker · NPI 1699035808

Nicole Wright Bullock, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

55 Hope St
Providence, RI 02906-2001
Phone: (401) 331-1350
Fax: (401) 277-3366
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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 ISW02480 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW01357 (RI)

Record details

NPI number1699035808
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESFebruary 18, 2015
Mailing address134 Thurbers Ave, Providence, RI 02905-4754

Other providers in Providence