CAROLYN FULGHAM
NPI 1871965343
Social Worker - Clinical in Saint Louis, MO

Active since October 23, 2015
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn Fulgham NPPES

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

CAROLYN FULGHAM (NPI 1871965343) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2020021039) and active in the NPI registry since October 2015. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1871965343
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN FULGHAM
Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265
Mailing Address330 N Gore AveSaint Louis, MO 63119-1600 · (314) 968-2060
Sole ProprietorYes
Enumeration DateOctober 23, 2015
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
NPI 1871965343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · 2020021039
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.

Also ListedSocial WorkerTaxonomy 104100000X · License 2015029538 (MO)
5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112

Secondary Practice Location 1

Location 1330 N Gore AveSaint Louis, MO 63119-1600 · Phone (314) 968-2060

Other Providers at the Same Location NPPES 20

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

Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

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 Carolyn Fulgham's NPI number?

The NPI number for Carolyn Fulgham is 1871965343. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Carolyn Fulgham located?

Carolyn Fulgham practices at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Carolyn Fulgham'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 Carolyn Fulgham was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.