MRS. PATRICIA LINK FULKERSON


Address: 2215 Portland Ave, Louisville, KY 40212
Phone: 5027748631

MRS. PATRICIA LINK FULKERSON (NPI# 1386778710) 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) 1386778710
Entity Type Individual
Full Name MRS. PATRICIA LINK FULKERSON
Credential LCSW
Practice Address 2215 Portland Ave
Louisville
KY 40212
Mailing Address 2215 Portland Ave
Attn Billing Dept
Louisville
KY 40212-1033
Practice Telephone 5027748631
Practice Fax Number 5027783499
Mailing Telephone 5027748631
Mailing Fax Number 5027783499
Enumeration Date 2007-03-15
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1934 KY Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
34004682A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100129170 05

Other Providers PATRICIA FULKERSON

NPI Name Taxonomy Address Enumeration
1982806600 Patricia Chandhok Fulkerson Pediatrics 3333 Burnet Ave., Ml 2000, Cincinnati, OH 45229-3039 2007-06-04

Office Location

Street Address 2215 PORTLAND AVE
City LOUISVILLE
State KY
Zip Code 40212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003810920 Julia E Richerson Pediatrics 2215 Portland Ave, Louisville, KY 40212-1033 2005-06-09
1609431097 Pamela Lynn Ratcliffe Social Worker 2215 Portland Ave, Louisville, KY 40212-1033 2019-05-01
1518453075 Dana Renee Singletary Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2018-07-09
1881105823 Emily B Franck Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2017-10-17
1952754749 Bradley Randall Congleton Dentist 2215 Portland Ave, Louisville, KY 40212-1033 2016-07-18
1164874160 Patricia Guzman Rojas Family Medicine 2215 Portland Ave, Louisville, KY 40212-1033 2016-07-01
1750738936 Paula W. Minervino Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2016-05-18
1043670391 Rod Ali Erfani Dentist 2215 Portland Ave, Louisville, KY 40212 2016-02-29
1013389022 Izegbea M. Cannon Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2015-10-29
1659742914 Tonia Marie Snyder-myers Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2015-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003433111 Shanita Flanagan Home Health Aide 4519 Southwestern Parkway, Louisville, KY 40212 2020-07-06
1184118887 Denise Goldsmith-kelley Licensed Practical Nurse 2611 Northwestern Pkwy, Louisville, KY 40212 2018-06-18
1477605426 Market St Dental Office Psc Dentist 2410 West Market St, Louisville, KY 40212 2007-01-18
1528118601 Portland Dental Psc Clinic/Center 465 North 26th Street, Louisville, KY 40212 2007-01-11
1790393643 Quality Home Care Services, LLC In Home Supportive Care 4519 Southwestern Parkway, Same, Louisville, KY 40212 2020-07-16
1659884872 New Leaf Clinic Clinic/Center 2910 W Jefferson St, Louisville, KY 40212 2017-11-09
1164754008 Deborah J Moreau Nurse Practitioner 234 Amy Ave, Louisville, KY 40212 2010-02-03
1982617387 Julie R Aull Physician Assistant 234 Amy Ave, Louisville, KY 40212 2006-08-15
1255816401 Restoration Center Inc. Respite Care 2611 Northwestern Pkwy, Louisville, KY 40212-1029 2018-10-03
1386038040 Lufield Dialysis LLC Clinic/Center 2118 Portland Ave, Louisville, KY 40212-1032 2015-03-20
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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
1730797911 Harvetta K Ray Social Worker 1426 S 28th St, Louisville, KY 40211-1729 2020-07-14
1083235360 Julie Elfers Social Worker 700 Front St Ste 208, Louisville, CO 80027-1805 2020-04-28
1699301291 James Casey Newman Social Worker 7121 Black Walnut Cir, Louisville, KY 40229-6402 2020-03-16
1467086744 Kathryn Fischer Social Worker 1009 Rosemary Dr, Louisville, KY 40213-1119 2020-02-26
1497385496 Katelyn Mensing Social Worker 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 2020-01-19
1386280683 Jayan Thomas Lcsw LLC Social Worker 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 2019-11-21
1619511615 Children's Safe Haven, LLC Social Worker 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 2019-11-01
1518500693 Samantha Catherine Renschler Social Worker 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 2019-10-22
1124660287 Andrea Bland Social Worker 4820 Greenvale Cir, Louisville, KY 40272-3181 2019-10-10
1164063665 Lisa Spencer Social Worker 3906 Wewoka Ave, Louisville, KY 40212-2852 2019-10-05
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Competitor

Search similar providers

City LOUISVILLE
Zip Code 40212

Improve Information

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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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