Active NPI
Robin Marion Fulmer, LCSW
- Clinical Social Worker
- Concord, CA
National Provider Identifier
1003993379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26385
- Practice address
- 1936 Carlotta Dr
Concord, CA 94519-1358 - Phone
- (925) 687-0202
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26385 | CA | Primary |
Addresses
Primary practice location
1936 Carlotta Dr
Concord, CA 94519-1358
Mailing address
2129A Byron St
Berkeley, CA 94702-1809
Phone (415) 425-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26385 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Calworks | Past | Accepting new patients | |
| Westside Community Mental Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- San Francisco, CA
- NPI 1891871950
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1568528040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1003993379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129A BYRON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021809",
"telephone_number": "415-425-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 CARLOTTA DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191358",
"telephone_number": "925-687-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "ROBIN",
"middle_name": "MARION",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.