DANIELA BULARZIK (LCSW) – Clinical Social Worker, NPI 1619795564

DANIELA BULARZIK (LCSW) is a healthcare provider. based in Saint louis, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2024034601 (MO). The NPI Number for DANIELA BULARZIK (LCSW) is 1619795564

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DANIELA BULARZIK (LCSW)
NPI
1619795564
Phone
(314) 645-6247
Address
4389 W PINE BLVD
Enumeration Date
30 September 2024
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146456247
Graduation Year
2020 (6 years ago)
PAC ID
4981139995
Group Practice PAC ID
6608147418
Professional Enrollment ID
I20250613000969
Address ID
MO631082205SA4389XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for DANIELA BULARZIK (LCSW)

  • 4389 W PINE BLVD

    SAINT LOUIS, MO 631082205

    Phone: (314) 645-6247

    Fax: (314) 645-6249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241127004213IClinical Social WorkerMOTBD
I20250613000969IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608147418View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMO
Clinical Social WorkerMO
Occupational Therapist In Private PracticeMO
-MO

Reviews

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Frequently asked questions

What federal number belongs to DANIELA BULARZIK (LCSW)?
The federal identifier for DANIELA BULARZIK (LCSW) is NPI 1619795564.
Is DANIELA BULARZIK (LCSW) currently active in the NPI registry?
CMS-published data lists DANIELA BULARZIK (LCSW) as an active registrant.
What kind of provider is DANIELA BULARZIK (LCSW)?
The page reflects Clinical Social Worker for DANIELA BULARZIK (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for DANIELA BULARZIK (LCSW)?
We surface Saint Louis, Missouri for DANIELA BULARZIK (LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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