KRISTLE M FULLERTON (NPI# 1124583729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583729 |
| Entity Type | Individual |
| Full Name | KRISTLE M FULLERTON |
| Practice Address |
802 Baltimore Pike Bel Air MD 21014-4212 |
| Practice Telephone | 4436432422 |
| Mailing Telephone | 4436432422 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
802 BALTIMORE PIKE |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828641 | Angel Nicole Harp-witherspoon | Counselor | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2020-10-15 |
| 1245886282 | Kaila-leigh Testerman | Social Worker | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-08-15 |
| 1245885557 | Ashley K Steimer | Counselor | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-08-04 |
| 1962055905 | Geryl Ann Haberkam | Social Worker | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-07-18 |
| 1538721170 | Casey Marie Anderson | Social Worker | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-07-03 |
| 1669032702 | Philip Lembo | Social Worker | 802 Baltimore Pike, Bel Air, MD 21014-4212 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| 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 |
|---|---|---|---|---|
| 1255941084 | Renewal Counseling Center, Inc | Social Worker | 2230 Old Emmorton Rd, Bel Air, MD 21015-6106 | 2020-08-06 |
| 1790315067 | Guided Hope Counseling, LLC | Social Worker | 260 Gateway Dr Ste 7-8b, Bel Air, MD 21014-4268 | 2020-01-24 |
| 1225674336 | Nikki Plummer | Social Worker | 308 Glenwood Rd, Bel Air, MD 21014-5537 | 2019-11-24 |
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1972159564 | Kathleen Anne Kennon | Social Worker | 208 Hillendale Rd, Bel Air, MD 21014-5120 | 2019-08-10 |
| 1437616091 | Johanna Deluigi | Social Worker | 933 Gainsborough Ct, Bel Air, MD 21014-6963 | 2019-03-01 |
| 1831667500 | Leah Brody | Social Worker | 2107 Laurel Bush Rd Ste 209, Bel Air, MD 21015-5203 | 2018-11-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1356863054 | Jill Allen Svrjcek | Social Worker | 1201 Agora Dr Ste Lb2, Bel Air, MD 21014-6863 | 2017-07-13 |
| 1619419645 | Suzanne Louise Dubois | Social Worker | 336 S Main St Ste 1c, Bel Air, MD 21014-3978 | 2016-11-08 |
| Find all providers in BEL AIR | ||||
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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.