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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801103864 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740374727 | David Fulkerson | Physical Therapist | 6613 W 550 N, Wabash, IN 46992-7609 | 2006-10-03 |
| Street Address |
4250 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| 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 | ||||
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.