DR. LARRY ELMER FULTZ PHD
NPI 1164693172
Social Worker - Clinical in Baltimore, MD

Active since March 18, 2008PECOS EnrolledAccepts Medicare Assignment
5024 CAMPBELL BLVD, SUITE H, BALTIMORE, MD 21236(410) 931-9280 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Larry Elmer Fultz Phd NPPES

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

DR. LARRY ELMER FULTZ PHD (NPI 1164693172) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (06248) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1164693172
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. LARRY ELMER FULTZCredential: PHD
Location Address5024 CAMPBELL BLVD, SUITE HBaltimore, MD 21236
Mailing Address407 Alabama RdTowson, MD 21204-4308 · (410) 823-1429
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 18, 2008
NPI 1164693172 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 MD · 06248
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.

5024 CAMPBELL BLVD, Baltimore, MD 21236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Larry Elmer Fultz Phd 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 ID1759410921
PECOS Enrollment IDI20100526000589
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
190 services28 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 16

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

Social Worker (Clinical)
5024 CAMPBELL BLVD, AUITE H
BALTIMORE, MD 21236
Psychiatry & Neurology (Psychiatry)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Psychologist (Clinical)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Social Worker (Clinical)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Social Worker (Clinical)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Social Worker (Clinical)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Psychologist (Clinical)
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236
Psychologist
5024 CAMPBELL BLVD, SUITE H
BALTIMORE, MD 21236

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 Larry Fultz's NPI number?

The NPI number for Larry Fultz is 1164693172. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Where is Larry Fultz located?

Larry Fultz practices at 5024 Campbell Blvd Suite H, Baltimore, MD 21236. The listed phone number is (410) 931-9280.

What is Larry Fultz's specialty?

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

Is Larry Fultz enrolled in Medicare?

Yes. Larry Fultz 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.

What insurance does Larry Fultz accept?

Health plans from Providence Health Plan list Larry Fultz 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 Larry Fultz was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.