Individual provider · Type 1 NPI

Keri Ann Fulkerson

Clinical Social Worker · Grand Rapids, MI

NPI number 1770151797 Active

Practice location

2730 5 Mile Rd NE
Grand Rapids, MI 49525-6518

Call (616) 426-9159 Map

Fax (616) 222-0294

Mailing address

525 Greentree Ln NE
Ada, MI 49301-9793

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089887 (MI)

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 1770151797

Keri Ann Fulkerson's National Provider Identifier is 1770151797, issued on Jun 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 15, 2021.