Individual provider · Type 1 NPI

Jessica Atwell Fultz, LICSW

Clinical Social Worker · Fall River, MA

NPI number 1568512978 Active

Practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

175 Elm St
New Bedford, MA 02740-6006

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X115286 (MA)

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 1568512978

Jessica Atwell Fultz, LICSW's National Provider Identifier is 1568512978, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fall River, MA. The record was last updated on Aug 31, 2011.