Individual provider · Type 1 NPI

Kristle M. Fullerton

Clinical Social Worker · Bel Air, MD

NPI number 1124583729 Active

Practice location

802 Baltimore Pike
Bel Air, MD 21014-4212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1124583729

Kristle M. Fullerton's National Provider Identifier is 1124583729, issued on Feb 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bel Air, MD. The record was last updated on Feb 7, 2019.