KAPHAZIJA KLARA FULMORE LCSWA
NPI 1104506955
Social Worker - Clinical in Fayetteville, NC

Active since July 18, 2023
902 S REILLY RD, FAYETTEVILLE, NC 28314(910) 491-6356(910) 491-8128 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaphazija Klara Fulmore Lcswa NPPES

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

KAPHAZIJA KLARA FULMORE LCSWA (NPI 1104506955) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P018719) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104506955
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAPHAZIJA KLARA FULMORECredential: LCSWA
Location Address902 S REILLY RDFayetteville, NC 28314-1825
Mailing Address756 Cl Tart Cir Apt 600Fayetteville, NC 28314-3150 · (910) 257-5410
Fax(910) 491-8128
Sole ProprietorYes
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1104506955 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 NC · P018719
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.
902 S REILLY RD, Fayetteville, NC 28314

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Counselor (Mental Health)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Counselor (Addiction (Substance Use Disorder))
902 S REILLY RD
FAYETTEVILLE, NC 28314
Social Worker (Clinical)
902 S REILLY RD
FAYETTEVILLE, NC 28314
Social Worker (Clinical)
902 S REILLY RD
FAYETTEVILLE, NC 28314

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 Kaphazija Fulmore's NPI number?

The NPI number for Kaphazija Fulmore is 1104506955. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Kaphazija Fulmore located?

Kaphazija Fulmore practices at 902 S Reilly Rd, Fayetteville, NC 28314. The listed phone number is (910) 491-6356.

What is Kaphazija Fulmore's specialty?

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

What insurance does Kaphazija Fulmore accept?

Health plans from Blue Cross and Blue Shield of NC list Kaphazija Fulmore 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 Kaphazija Fulmore was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.