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MRS. COLLEEN ELIZABETH FULLING LISW-CP
NPI 1063393411
Social Worker - Clinical in Murrells Inlet, SC

Active since September 11, 2025PECOS EnrolledAccepts Medicare Assignment
11947 GRANDHAVEN DR STE N, MURRELLS INLET, SC 29576(843) 894-0000 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Colleen Elizabeth Fulling Lisw-cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COLLEEN ELIZABETH FULLING LISW-CP (NPI 1063393411) is an individual clinical provider in Murrells Inlet, South Carolina, licensed in South Carolina (18236) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063393411
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. COLLEEN ELIZABETH FULLINGCredential: LISW-CP
Location Address11947 GRANDHAVEN DR STE NMurrells Inlet, SC 29576-7862
Mailing Address11947 Grandhaven Dr Ste NMurrells Inlet, SC 29576-7862 · (843) 894-0000
Phone(843) 894-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 11, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1063393411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 18236
Definition
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.
11947 GRANDHAVEN DR STE N, Murrells Inlet, SC 29576
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Colleen Elizabeth Fulling Lisw-cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769989201
PECOS Enrollment IDI20251009002075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Colleen Fulling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oceanic Counseling Group LLC
13 mi
Mental Health
215 RONNIE CT STE C
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
NPI 1922631522 (843) 894-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCEANIC PSYCHIATRIC MEDICINE
Nurse Practitioner (Psychiatric/Mental Health)
11947 GRANDHAVEN DR STE N
MURRELLS INLET, SC 29576
Georgetown County (833) 338-6337
MS. KAREN D HOUSER LCSW
Social Worker (Clinical)
11947 GRANDHAVEN DR STE N
MURRELLS INLET, SC 29576
Georgetown County (843) 894-0000
MR. DAVID THOMAS PRYOR JR. LCSW, LISW-CP
Social Worker (Clinical)
11947 GRANDHAVEN DR STE N
MURRELLS INLET, SC 29576
Georgetown County (843) 894-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Fulling's NPI number?

The NPI number for Colleen Fulling is 1063393411. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Colleen Fulling located?

Colleen Fulling practices at 11947 Grandhaven Dr Ste N, Murrells Inlet, SC 29576. The listed phone number is (843) 894-0000.

What is Colleen Fulling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Colleen Fulling enrolled in Medicare?

Yes. Colleen Fulling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Colleen Fulling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Fulling reassigns Medicare benefits to Oceanic Counseling Group LLC (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Fulling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Fulling accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Colleen Fulling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colleen Fulling was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.