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

Phoenix Bullis-Caballos

Individual provider Clinical Social Worker · NPI 1871302919

Phoenix Bullis-Caballos is a Clinical Social Worker in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1106 Nikki View Dr
Brandon, FL 33511-4868
Phone: (813) 680-1367
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW26301 (FL)

Record details

NPI number1871302919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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