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Past research has focused on individual-level characteristics that influence bullying perpetration and victimization. Few studies have assessed how neighborhood structures and collective efficacy influence the likelihood of adolescents engaging in bullying perpetration and/or are impacted by bulling victimization. The current study tests the effects of social disorganization indicators and collective efficacy on bullying perpetration and bullying victimization. Multinomial logistic regression models were estimated using data from the National Survey of Children’s Health (2019). Findings indicated general support for the notion that social disorganization increases bullying perpetration and victimization. Likewise, collective efficacy significantly reduces both bullying perpetration and victimization. Policy implications consistent with the findings determined here are provided.