Individual provider · Type 1 NPI

Douglas Richard Fulmer, M.DIV., L.C.S.W.

Clinical Social Worker · Orland Park, IL

NPI number 1982838124 Active

Practice location

11309 Distinctive Dr, Suite #3
Orland Park, IL 60467-9490

Mailing address

14514 Mallard Dr
Homer Glen, IL 60491-9263

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149013359 (IL)

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 1982838124

Douglas Richard Fulmer, M.DIV., L.C.S.W.'s National Provider Identifier is 1982838124, issued on May 2, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orland Park, IL. The record was last updated on May 2, 2009.