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

Individual provider Clinical Social Worker · NPI 1992093215

Sonja P Bullock, LCSW is a Clinical Social Worker in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2011
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

508 Cedarwood Dr
Jackson, MS 39212-2220
Phone: (601) 214-8157
Fax: (601) 371-0905
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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 C4937 (MS)

Record details

NPI number1992093215
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 20, 2011
Last updated in NPPESJuly 20, 2011

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