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GLYNIS WIKSTROM FULLWOOD LCSW
NPI 1902467350
Social Worker - Clinical in Chapel Hill, NC

Active since June 26, 2019
104 S ESTES DR STE 301G, CHAPEL HILL, NC 27514(919) 931-5639 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glynis Wikstrom Fullwood Lcsw NPPES

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

GLYNIS WIKSTROM FULLWOOD LCSW (NPI 1902467350) is an individual clinical provider in Chapel Hill, North Carolina, licensed in North Carolina (C004458) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1902467350
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGLYNIS WIKSTROM FULLWOODCredential: LCSW
Location Address104 S ESTES DR STE 301GChapel Hill, NC 27514-2848
Mailing Address104 S Estes Dr Ste 301gChapel Hill, NC 27514-2848 · (919) 931-5639
Phone(919) 931-5639
Sole ProprietorNo
Enumeration DateJune 26, 2019
✔ NPI 1902467350 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 NC · C004458
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.
104 S ESTES DR STE 301G, Chapel Hill, NC 27514
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES

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

GRETA BRESKIN RD, LDN
Dietitian, Registered (Nutrition, Pediatric)
104 S ESTES DR STE 301G
CHAPEL HILL, NC 27514
Orange County (919) 809-5452

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 Glynis Fullwood's NPI number?

The NPI number for Glynis Fullwood is 1902467350. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Glynis Fullwood located?

Glynis Fullwood practices at 104 S Estes Dr Ste 301G, Chapel Hill, NC 27514. The listed phone number is (919) 931-5639.

What is Glynis Fullwood's specialty?

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

What insurance does Glynis Fullwood accept?

Health plans from Blue Cross and Blue Shield of NC list Glynis Fullwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glynis Fullwood was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.