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

Tatum Bullock, LCSW-C

Individual provider Clinical Social Worker · NPI 1558736793

Tatum Bullock, LCSW-C is a Clinical Social Worker in Reisterstown, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2015

Practice location Address checks out

345 Town Green Way
Reisterstown, MD 21136-1618
Phone: (443) 799-3220
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 17709 (MD)

Record details

NPI number1558736793
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedDecember 12, 2015
Last updated in NPPESJanuary 18, 2017

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