Individual provider · Type 1 NPI

Nicholas Fulks

Clinical Social Worker · Canton, OH

NPI number 1053812966 Active

Practice location

400 Tuscarawas St W
Canton, OH 44702-2044

Call (330) 438-2400 Map

Fax (330) 823-7078

Mailing address

5982 Rhodes Rd
Kent, OH 44240-8100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.1700502 (OH)

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 1053812966

Nicholas Fulks's National Provider Identifier is 1053812966, issued on Feb 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, OH. The record was last updated on Feb 26, 2018.