DENNA MARIE FULTON (NPI# 1235464504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235464504 |
| Entity Type | Individual |
| Full Name | DENNA MARIE FULTON |
| Credential | LCSW, QMHP, CADCIII |
| Practice Address |
2073 Olympic St Springfield OR 97477 |
| Mailing Address |
2073 Olympic St Springfield OR 97477-3413 |
| Practice Telephone | 5416823550 |
| Practice Fax Number | 5416823551 |
| Mailing Telephone | 5416823550 |
| Mailing Fax Number | 5416823551 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1309-50 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L8032 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 78 Centennial Loop Ste A, Eugene, OR 974017900 | 5417417107 | |
| 1034 Lawrence St, Eugene, OR 974013440 | 4582151610 | |
| 2073 Olympic St, Springfield, OR 97477 | 5416823550 | 5416823551 |
| Street Address |
2073 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230051 | Sharon R Levine | Family Medicine | 2073 Olympic St, Springfield, OR 97477-3413 | 2005-07-22 |
| 1003413758 | Frances K Moore | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-10-06 |
| 1730794538 | Daisy Ojeda | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-09-09 |
| 1659998854 | Lauren Davis | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-07-03 |
| 1942820618 | Shannan Rene Healy | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-04-22 |
| 1225664709 | Drew Watts | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-03-17 |
| 1144867615 | Heather Lynne Woodward | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-12-04 |
| 1780230961 | Breanna Mariah Tupper | Peer Specialist | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-08-14 |
| 1972164671 | Jaime Nicole Cosci | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-06-24 |
| 1346706389 | Benjamin Andrew Rosenberger | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on DENNA MARIE FULTON.
| 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.