LESLIE ANN FULP LICSWA
NPI 1649143181
Social Worker - Clinical in Centralia, WA

Active since September 29, 2025
713 HAM HILL RD, CENTRALIA, WA 98531(828) 775-3939 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leslie Ann Fulp Licswa NPPES

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

LESLIE ANN FULP LICSWA (NPI 1649143181) is an individual clinical provider in Centralia, Washington, licensed in Washington (SWIA.SC.70012264) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1649143181
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLESLIE ANN FULPCredential: LICSWA
Location Address713 HAM HILL RDCentralia, WA 98531-5219
Mailing Address713 Ham Hill RdCentralia, WA 98531-5219 · (828) 775-3939
Sole ProprietorNo
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1649143181 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 WA · SWIA.SC.70012264
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.
713 HAM HILL RD, Centralia, WA 98531

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 Leslie Fulp's NPI number?

The NPI number for Leslie Fulp is 1649143181. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Leslie Fulp located?

Leslie Fulp practices at 713 Ham Hill Rd, Centralia, WA 98531. The listed phone number is (828) 775-3939.

What is Leslie Fulp's specialty?

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

When was this NPI record last updated?

The NPPES record for Leslie Fulp was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.