MR. TERRENCE WILLIAM FULTON (NPI# 1780058859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780058859 |
| Entity Type | Individual |
| Full Name | MR. TERRENCE WILLIAM FULTON |
| Practice Address |
3217 Donna Ave Warren MI 48091-3945 |
| Practice Telephone | 5862196024 |
| Mailing Telephone | 5862196024 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | F435789887177 | 05 |
| Street Address |
3217 DONNA AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48091-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630777 | Chante Renee Jackson | Social Worker | 28082 Hoover Rd Apt 3, Warren, MI 48093-4166 | 2020-08-17 |
| 1871123638 | Resheta Sade Eggleston | Social Worker | 2833 Red Fox Run Dr Nw, Warren, OH 44485-1573 | 2020-01-21 |
| 1639711708 | Alexandra Ash | Social Worker | 6 Asylum Rd, Warren, RI 02885-1718 | 2019-10-10 |
| 1548818461 | Lauren Louise Wimer | Social Worker | 2282 Reeves Road Ne, Warren, OH 44483-4354 | 2019-09-04 |
| 1285287862 | Zenobia Kindle-davis | Social Worker | 22804 Sharrow Ave, Warren, MI 48089-2882 | 2019-07-22 |
| 1083180640 | Rakaiya Peterman | Social Worker | 138 Kenmore Ave Se, Warren, OH 44483-6157 | 2018-10-22 |
| 1700366614 | Jamila Ebony Provitt | Social Worker | 2671 Youngstown Rd Se, Warren, OH 44484-4404 | 2018-08-20 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1578051876 | Melissa Ann Emery | Social Worker | 160 Clifton Dr Ne Ste 1, Warren, OH 44484-1899 | 2018-04-23 |
| 1295239291 | Derrick L Mason | Social Worker | 605 Oriole Pl Sw, Warren, OH 44485-3638 | 2018-03-23 |
| Find all providers in WARREN | ||||
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| 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.