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ALBERT FULLWOOD SR.
NPI 1194270405
Social Worker in Shreveport, LA

Active since August 17, 2016
6015 HEARNE AVE, SHREVEPORT, LA 71108(318) 213-0904 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Jan 14, 2021, Aug 17, 2016 (3 updates tracked since 2016).

About Albert Fullwood Sr. NPPES

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

ALBERT FULLWOOD SR. (NPI 1194270405) is an individual social worker in Shreveport, Louisiana, licensed in Louisiana (16059) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1194270405
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameALBERT FULLWOOD SR.
Location Address6015 HEARNE AVEShreveport, LA 71108-3803
Mailing Address1717 Marshall StShreveport, LA 71101-4139
Phone(318) 213-0904
Sole ProprietorYes
Enumeration DateAugust 17, 2016
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1194270405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in LA · 16059
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 600720427 (LA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 16059 (LA)
6015 HEARNE AVE, Shreveport, LA 71108
Open in Google Maps ↗

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.

MECHELLE DAVIS
Counselor (Mental Health)
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 213-0904
ERICA VALENTINE
Case Manager/Care Coordinator
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 213-0904
PATRICE WILLIAMS
Case Manager/Care Coordinator
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 834-5742
STANCY TOMEKIO COLEMAN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 213-0904
LERHONDA MINNIEFIELD
Case Manager/Care Coordinator
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 480-1092
INA LYNETTE WHITE
Counselor (Professional)
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 213-1389
VERONICA DOUGLAS LPC
Counselor (Professional)
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 213-0904
EVOL DATCHER
Counselor (Mental Health)
6015 HEARNE AVE
SHREVEPORT, LA 71108
Caddo Parish (318) 231-3090

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 Albert Fullwood's NPI number?

The NPI number for Albert Fullwood is 1194270405. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Albert Fullwood located?

Albert Fullwood practices at 6015 Hearne Ave, Shreveport, LA 71108. The listed phone number is (318) 213-0904.

What is Albert Fullwood's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Albert Fullwood was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.