MRS. ESONIJA SHAVON FULGHAM LCSW-C, ABD
NPI 1346674140
Social Worker - Clinical in Gaithersburg, MD

Active since August 28, 2013PECOS Enrolled
8929 SHADY GROVE CT, GAITHERSBURG, MD 20877(410) 972-9465 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2022, Mar 11, 2022 (2 updates tracked since 2022).

About Mrs. Esonija Shavon Fulgham Lcsw-c, Abd NPPES

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

MRS. ESONIJA SHAVON FULGHAM LCSW-C, ABD (NPI 1346674140) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (18748) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346674140
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ESONIJA SHAVON FULGHAMCredential: LCSW-C, ABD
Location Address8929 SHADY GROVE CTGaithersburg, MD 20877-1308
Mailing Address8929 Shady Grove CtGaithersburg, MD 20877-1308 · (410) 972-9465
Sole ProprietorYes
Enumeration DateAugust 28, 2013
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
NPI 1346674140 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 · 18748
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.

8929 SHADY GROVE CT, Gaithersburg, MD 20877

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Mrs. Esonija Shavon Fulgham Lcsw-c, Abd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 17

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

Social Worker (Clinical)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychiatry & Neurology (Psychiatry)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychologist
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychologist (Clinical)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Social Worker (Clinical)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychologist (Clinical)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Psychiatry & Neurology (Psychiatry)
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877
Clinic/Center (Mental Health (Including Community Mental Health Center))
8929 SHADY GROVE CT
GAITHERSBURG, MD 20877

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346674140, enumerated as an "individual" on August 28, 2013.

The provider is located at 8929 SHADY GROVE CT GAITHERSBURG, MD 20877 and the phone number is (410) 972-9465.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.