Blake A. Bullock, LCSW
Clinical Social Worker · Evanston, IL
Blake A. Bullock, LCSW is a clinical social worker with a practice address in Evanston, Illinois, and NPI 1295505014, issued on Jan 3, 2024. Check the license (Illinois 149.024395, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Blake A. Bullock
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 149.024395 IL
Self-reported in NPPES; status is on the state search - Practice location
- 708 Church St Ste 223, Evanston, IL 60201
- Phone
- (312) 620-0396
- Enumerated
- Jan 3, 2024
- Record last updated
- Jul 2, 2025
- Medicare enrollment
- Enrolled (PECOS I20250402002180); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 13,637 in Illinois → Look up another NPI →
Also registered at 708 Church St Ste 223
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Felix Acuna Olivos, LCSWClinical Social Worker1124670229
Verify Blake A. Bullock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 149.024395Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Blake A. Bullock among 13,637 clinical social worker records in Illinois
Blake A. Bullock, LCSW is one of 13,637 clinical social worker records with a practice address in Illinois. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 87% of them.
- NPI issued2024 · 87% of these records are older, 8% newer
- In a Medicare fileNo · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2017 · median 2010 among the 2,895 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
387 clinical social worker records list a practice address in Evanston
They are 387 of the 4,013 NPPES records with a practice address in Evanston, and 13,637 clinical social worker records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 13,637 in Illinois → Every provider in Evanston → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Jane AltEvanston, IL 602011841200136
- Judith Aronson, LCSW, BCDEvanston, IL 602011700886579
- Jacqueline Bermak, LCSWEvanston, IL 602011891770640
- Ruth Bittner, MSWEvanston, IL 602011528077625
- Robert Farra, PH.D.Evanston, IL 602011679559959
- William Kaplan, LCSWEvanston, IL 602011811905144
- Janet London, LCSWEvanston, IL 602011427069483
- Sherry Nelson, LCSWEvanston, IL 602011174534119
Common questions
What is Blake A. Bullock, LCSW's NPI number?
Blake A. Bullock, LCSW's National Provider Identifier (NPI) is 1295505014, issued on Jan 3, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Blake A. Bullock, LCSW located?
The NPPES record lists a practice address at 708 Church St Ste 223, Evanston, IL, 60201. Phone: (312) 620-0396. Providers update this record themselves, so call before visiting.
How can I verify Blake A. Bullock, LCSW's license?
NPPES lists Illinois license number 149.024395, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.