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

Q: 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.

Q: What is Courtney Fullwood's specialty?

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

Q: 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 9 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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