NPI 1265004378 · live from the CMS NPI Registry
Emily Jean Bullard, LCSW
Social Worker, Clinical in Boise, ID. National Provider Identifier 1265004378, active.
NPI record
| NPI | 1265004378 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6550 W Emerald St Ste 112, Boise, ID 83704 |
| Practice phone | 208-342-6300 |
| Mailing address | 1917 Abbott Rd Ste 101, Anchorage, AK 99507 |
| Enumerated | July 16, 2021 |
| Last updated | August 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 231795 (AK) |
| Social Worker, Clinical | 1041C0700X | 41032 (ID) |
| Social Worker, Clinical | 1041C0700X | 18341 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.