Individual provider · Type 1 NPI

John Fulmore, LCSW

Clinical Social Worker · Caldwell, ID

NPI number 1275989873 Active

Practice location

3402 Franklin Rd
Caldwell, ID 83605-6932

Call (208) 459-0092 Map

Fax (208) 454-7714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-34739 (ID)

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 1275989873

John Fulmore, LCSW's National Provider Identifier is 1275989873, issued on May 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Caldwell, ID. The record was last updated on May 12, 2016.