Individual provider · Type 1 NPI

Carolyn Fulgham

Clinical Social Worker · St. Louis, MO

NPI number 1871965343 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Call (314) 367-5820 Map

Mailing address

330 N Gore Ave
St. Louis, MO 63119-1600

Other practice locations

  • 330 N Gore Ave, St. Louis, MO 63119-1600 · (314) 968-2060

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2015029538 (MO)
Clinical Social Worker Primary 1041C0700X2020021039 (MO)

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 1871965343

Carolyn Fulgham's National Provider Identifier is 1871965343, issued on Oct 23, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Nov 3, 2020.