DAVID JAMES FULKERSON


Address: 4250 Plymouth Rd, Ann Arbor, MI 48109-2700
Phone: 7347646443

DAVID JAMES FULKERSON (NPI# 1134685142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134685142
Entity Type Individual
Full Name DAVID JAMES FULKERSON
Credential MSW
Practice Address 4250 Plymouth Rd
Ann Arbor
MI 48109-2700
Mailing Address 3621 S State St
Ann Arbor
MI 48108-1633
Practice Telephone 7347646443
Mailing Telephone 7346475299
Enumeration Date 2019-02-14
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801103864 MI Behavioral Health & Social Service Providers

Other Providers DAVID FULKERSON

NPI Name Taxonomy Address Enumeration
1740374727 David Fulkerson Physical Therapist 6613 W 550 N, Wabash, IN 46992-7609 2006-10-03

Office Location

Street Address 4250 PLYMOUTH RD
City ANN ARBOR
State MI
Zip Code 48109-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205820230 Bernard Joseph Biermann Psychiatry & Neurology 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2005-09-06
1083234108 Syma Khan Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2020-04-18
1003443177 Lara N Coughlin Psychologist 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2020-03-26
1215561311 Heather E Dakki Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2020-02-27
1942845813 David Marc Fresco Psychologist 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2019-11-14
1992350482 Greta Bielaczyc Raglan Psychologist 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2019-08-02
1730648924 Kathleen Ann Durkin Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2019-03-18
1922564681 Chasity Lynn Jensen Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2019-02-18
1780156836 Michelangelo Trujillo Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2018-12-28
1902316433 Laurin Nicole Tuxbury-elliott Social Worker 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2017-10-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558987024 Albert Byun Student in an Organized Health Care Education/Training Program 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 2020-06-22
1851914931 Nadine Ibrahim Student in an Organized Health Care Education/Training Program 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 2020-05-22
1568083350 Tucker Zimmer Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 2020-05-03
1144841099 Jessica Moore Meves Student in an Organized Health Care Education/Training Program 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 2020-05-01
1710522297 Xiaoyuan Hu Specialist/Technologist Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 2019-11-08
1376192401 Regina Kay Freeman Clinical Nurse Specialist 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 2019-09-11
1477114155 William Philip Saunders IIi Student in an Organized Health Care Education/Training Program 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 2019-06-24
1093290447 Teresa H Lyden Speech-Language Pathologist 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1649755091 Anna Grace Hardenbergh Speech-Language Pathologist 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1548754609 Amy Wu Pediatrics 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 2018-06-21
Find all providers in zip 48109

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568062107 Noor Mateen Social Worker 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 2020-10-30
1295342970 Yan Luo Social Worker 536 S Forest Ave Apt 1614, Ann Arbor, MI 48104-2553 2020-09-28
1245845098 Matthew Cremin Social Worker 5340 Plymouth Rd Ste 104, Ann Arbor, MI 48105-9557 2020-09-09
1528678943 Joyce Y Lee Social Worker 2245 S State St Ste 1200, Ann Arbor, MI 48104-6279 2020-08-01
1649888900 Ian Reed Twiss Social Worker 2015 Geddes Ave, Ann Arbor, MI 48104-1715 2020-07-22
1114545308 Sarah Weissman Social Worker 1817 W Stadium Blvd Ste C, Ann Arbor, MI 48103-4577 2020-07-14
1710504618 Cjcasselman Lmsw LLC Social Worker 2311 Shelby Ave Ste 105, Ann Arbor, MI 48103-3849 2020-06-26
1295351807 Transitions Linda S Bender Lmsw Acsw Social Worker 4488 Jackson Rd Ste 4, Ann Arbor, MI 48103-1812 2020-06-19
1326661109 Naomi Rawitz Social Worker 120 E Liberty St Ste 370, Ann Arbor, MI 48104-2130 2020-05-27
1164042917 Sue Pellerito LLC Social Worker 2311 Shelby Ave Ste 105a, Ann Arbor, MI 48103-3849 2020-04-22
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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