Individual provider · Type 1 NPI

Kaphazija Klara Fulmore, LCSWA

Clinical Social Worker · Fayetteville, NC

NPI number 1104506955 Active

Practice location

902 S Reilly Rd
Fayetteville, NC 28314-1825

Call (910) 491-6356 Map

Fax (910) 491-8128

Mailing address

756 Cl Tart Cir Apt 600
Fayetteville, NC 28314-3150

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018719 (NC)

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 1104506955

Kaphazija Klara Fulmore, LCSWA's National Provider Identifier is 1104506955, issued on Jul 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 18, 2023.