Individual provider · Type 1 NPI
Tara Lynn Fulgham, LCSW
Clinical Social Worker · Cheektowaga, NY
Practice location
159 Century Rd
Cheektowaga, NY 14215-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 096102-01 (NY) |
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 1174398267
Tara Lynn Fulgham, LCSW's National Provider Identifier is 1174398267, issued on Nov 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheektowaga, NY. The record was last updated on Nov 17, 2023.