NICHOLAS FULKS (NPI# 1053812966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053812966 |
| Entity Type | Individual |
| Full Name | NICHOLAS FULKS |
| Practice Address |
400 Tuscarawas St W Canton OH 44702-2044 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3304382400 |
| Practice Fax Number | 3308237078 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S.1700502 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043762552 | Nicholas Fulks | Pharmacist | 6550 Harrison Ave, Cincinnati, OH 45247-6800 | 2016-10-31 |
| Street Address |
400 TUSCARAWAS ST W |
| City | CANTON |
| State | OH |
| Zip Code | 44702-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296213 | Coleman Professional Services, Inc. | Social Worker | 400 Tuscarawas St W, Suite 200, Canton, OH 44702-2018 | 2006-11-30 |
| 1902422876 | Megan Noel King | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-06-17 |
| 1174159305 | Seth A Hughes | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-03-19 |
| 1407482136 | Wendy M Bettes | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-03-13 |
| 1972137388 | Tina M Friedman | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-02-24 |
| 1699308932 | Gracey James | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-02-14 |
| 1285273631 | Cassandra Swihart | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2020-01-02 |
| 1518504125 | Madison Tunder | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2019-12-02 |
| 1912542341 | Rhoda Nutter | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2019-11-08 |
| 1912568924 | Abigail Elizabeth Henderhan | Case Manager/Care Coordinator | 400 Tuscarawas St W, Canton, OH 44702-2044 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| 1427550680 | Lydia Kate Saylor | Counselor | 624 Market Ave N, Canton, OH 44702 | 2018-03-05 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455504 | Kathleen Cafferty | Social Worker | 48377 Castleside Ct, Canton, MI 48187-1251 | 2020-10-20 |
| 1710596440 | Andrea Thomas | Social Worker | 43555 Fleetwood Ct, Canton, MI 48187-4911 | 2020-07-28 |
| 1265056394 | Sakoon Psychotherapy Pllc | Social Worker | 6512 N Canton Center Rd, Canton, MI 48187-1652 | 2020-06-04 |
| 1538783907 | Donna Jo Trimm Calk | Social Worker | 24 Goodrich St, Canton, NY 13617-1123 | 2020-06-02 |
| 1225650245 | Lydia Bishop | Social Worker | 124 Academy Ln, Canton, GA 30114-9903 | 2020-05-13 |
| 1730729112 | Carly Marie Farrell | Social Worker | 110 Hidden Lake Cir, Canton, GA 30114-1233 | 2020-01-13 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1821639014 | Sarah Winslow | Social Worker | 4081 Hunters Cir E, Canton, MI 48188-2348 | 2019-09-30 |
| 1851943278 | Rose Irene Schulist | Social Worker | 50202 Proctor Rd, Canton, MI 48188-1010 | 2019-07-16 |
| 1285292540 | Katelyn M Maddock | Social Worker | 48130 Royal Pointe Dr, Canton, MI 48187-5466 | 2019-06-03 |
| Find all providers in CANTON | ||||
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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.