Individual provider · Type 1 NPI

Shannon Noelle Fulcrod, LCSW, CSAC, MAC

Clinical Social Worker · Fort Belvoir, VA

NPI number 1003241209 Active

Practice location

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Mailing address

9532 Airdrie Ln
Fredericksburg, VA 22408-9521

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0710102773 (VA)
Clinical Social Worker Primary 1041C0700X0904007103 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003241209

Shannon Noelle Fulcrod, LCSW, CSAC, MAC's National Provider Identifier is 1003241209, issued on Sep 6, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Belvoir, VA. The record was last updated on Nov 7, 2024.