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

Virginia Bulleman, LISW-CP

Individual provider Clinical Social Worker · NPI 1104118819

Virginia Bulleman, LISW-CP is a Clinical Social Worker in Joint Base Charleston, South Carolina. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2011

Practice location Address checks out

204 W Hill Blvd
Joint Base Charleston, SC 29404-4704
Phone: (843) 963-6880
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 12747 (SC)

Record details

NPI number1104118819
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorYes
NPI enumeratedMay 12, 2011
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Joint Base Charleston