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Search › Illinois › Clinical Social Worker

Blake Bullock, LCSW

NPI 1295505014 · on the registry since 2024 · sole proprietor

Practice

Address
708 Church St Ste 223
Evanston, IL 60201
Phone
(312) 620-0396
Organisation at this address
Muddworks, Inc.
Cedar Moon Pllc
Ashley Allis Llc
Shalini Lulla Pllc
Sivan Schneider Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Additional practice sites

  • 1649 W Pratt Blvd Apt 3b, Chicago, IL

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois