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MR. COURTNEY DARNELL FULLWOOD LMSW
NPI 1386511335
Social Worker in Columbia, MD

Active since October 22, 2025PECOS Enrolled
10705 CHARTER DR STE 430, COLUMBIA, MD 21044(301) 259-3574 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Courtney Darnell Fullwood Lmsw NPPES

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

MR. COURTNEY DARNELL FULLWOOD LMSW (NPI 1386511335) is an individual social worker in Columbia, Maryland, licensed in Maryland (33382) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386511335
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. COURTNEY DARNELL FULLWOODCredential: LMSW
Location Address10705 CHARTER DR STE 430Columbia, MD 21044-2870
Mailing Address10106 Madronawood DrLaurel, MD 20708-3164 · (240) 855-5032
Phone(301) 259-3574
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1386511335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 33382
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.
10705 CHARTER DR STE 430, Columbia, MD 21044
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Courtney Darnell Fullwood Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234615139
PECOS Enrollment IDI20260110000014
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 Courtney Fullwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Heart Health And Wellness
Same address
Mental Health (Including Community Mental Health Center)
10705 CHARTER DR STE 430
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group
NPI 1881364529 (301) 259-3574

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

Other Providers at the Same Location NPPES 12

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

DR. JOSEPH K JAMARIS M.D.
Neurological Surgery
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (410) 768-4644
ONE HEART HEALTH AND WELLNESS
Clinic/Center (Rehabilitation, Substance Use Disorder)
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (301) 259-3574
ONE HEART HEALTH AND WELLNESS
Clinic/Center (Primary Care)
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (301) 259-3574
ONE HEART HEALTH AND WELLNESS
Community/Behavioral Health
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (301) 259-3574
CHESAPEAKE SPINE, LLC
Specialist
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (410) 368-8323
DR JOSEPH K JAMARIS , LLC
Neurological Surgery
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (410) 768-4644
DR. LAWRENCE SHIN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (410) 368-8323
GABRIELLE DAVIDSON LGPC
Counselor (Professional)
10705 CHARTER DR STE 430
COLUMBIA, MD 21044
Howard County (301) 259-3574

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 Courtney Fullwood's NPI number?

The NPI number for Courtney Fullwood is 1386511335. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Courtney Fullwood located?

Courtney Fullwood practices at 10705 Charter Dr Ste 430, Columbia, MD 21044. The listed phone number is (301) 259-3574.

What is Courtney Fullwood's specialty?

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

Is Courtney Fullwood enrolled in Medicare?

Yes. Courtney Fullwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Fullwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Fullwood reassigns Medicare benefits to One Heart Health And Wellness (Columbia, MD). 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 Courtney Fullwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Fullwood was last updated on October 22, 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.