Provider Demographics
NPI:1245746486
Name:BULKIN, ANNA (MSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:BULKIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 ROCKLAND PL
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1214
Mailing Address - Country:US
Mailing Address - Phone:617-669-0062
Mailing Address - Fax:
Practice Address - Street 1:63 ROCKLAND PL
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1214
Practice Address - Country:US
Practice Address - Phone:617-669-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10288631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical