DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICAH J BULLOCH LCSW

MEDICARE: MICAH J BULLOCH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker107800TX
2171M00000XCase Manager/Care CoordinatorUT
31041C0700XClinical Social Worker8371889ID
41041C0700XClinical Social Worker8765778-3501UT

General Provider Information

NPI Number : 1679082952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICAH J BULLOCH LCSW
Provider Business Mailing Address
First Line : 2505 IDLEWILDE DR
Second Line :
City : MIDLAND
State : TX
Zip : 79707-6120
Country : US
Telephone Number : 435-868-8405
Fax Number : 435-986-8700
Provider Business Practice Location Address
First Line : 245 E 680 S
Second Line :
City : CEDAR CITY
State : UT
Zip : 84720-3593
Country : US
Telephone Number : 435-867-7654
Fax Number : 435-867-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2017
Last Update Date : 04/07/2026

Similar Medicare Providers

1821026378 — JANE G. JOHNSON LCSW
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7655
Practice Fax: 435-867-7699
1477561587 — ROGER KAY LISTER LCSW
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7654
Practice Fax: 435-867-7699
1639239916 — DAVID EDDY LCSW
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7654
Practice Fax: 435-867-7699
1174660047 — ROSS WILLIAMS LMFT
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7654
Practice Fax: 435-986-8700
1134267586 — NADEAN BRINTON LPN
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7654
Practice Fax: 435-986-8700
1831237858 — DIANE TUFT LCSW
Practice Location Address:
245 E 680 S
CEDAR CITY, UT
84720-3593
Practice Phone: 435-867-7654
Practice Fax: 435-986-8700

Directions to “ MICAH J BULLOCH LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.