Individual provider · Type 1 NPI

Shavon Fulcher, LCSW

Clinical Social Worker · Dorchester, MA

NPI number 1619370459 Active

Practice location

1353 Dorchester Ave
Dorchester, MA 02122-2932

Mailing address

800 West St, 3118
Braintree, MA 02184-3852

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X216396 (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 1619370459

Shavon Fulcher, LCSW's National Provider Identifier is 1619370459, issued on Oct 8, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester, MA. The record was last updated on Oct 8, 2014.