MEDICARE: SARAH BULLOCK, LCSW, LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770424665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH BULLOCK, LCSW, LLC

Provider Business Mailing Address
First Line	:	8520 E KEMPER RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1709
Country	:	US
Telephone Number	:	513-952-8829
Fax Number	:	513-986-2806

Provider Business Practice Location Address
First Line	:	8520 E KEMPER RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1709
Country	:	US
Telephone Number	:	513-952-8829
Fax Number	:	513-986-2806

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SARAH BULLOCK
Credential	:	LCSW
Telephone Number	:	513-952-8829

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/17/2026

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