Carolyn Diana Fulcher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6193 Issued in TN

Practice address

215 Hawks Rd Ste 12a
Martin, TN 38237-2708

Phone

(731) 281-8070

Fax

(731) 284-0533

NPI assigned

Jul 21, 2011

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolyn Diana King Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seeds of Hope Counseling, PLLC

  • Clinical Social Worker
  • Martin, TN
  • NPI 1831662832
  Medicare reassignment Authorized official
• Christian Family Medicine, LLC

  dba Christian Family Medicine and Pediatrics

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment NPD
• Christian Family Medicine

  dba Christian Family Medcine of Weakley County

  • Family Nurse Practitioner
  • Ripley, TN
  • NPI 1720338833
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1033407218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HAWKS ROAD",
            "address_2": "SUITE 12A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372165",
            "telephone_number": "731-281-8070",
            "fax_number": "731-284-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWKS RD STE 12A",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372708",
            "telephone_number": "731-281-8070",
            "fax_number": "731-284-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S College St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383821892",
            "country_code": "US",
            "telephone_number": "731-284-0432",
            "fax_number": "731-284-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "CAROLYN",
        "middle_name": "DIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "KING",
            "middle_name": "DIANA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walter Frizzell Fletcher, M.D.
• Ronald Earl Foley, D.D.S.
• Gary Clinton Foster, AGACNP-BC
• Lorrie Ann Frazier, OTR
• Anne M Fritcher, PA
• Debra Fulcher, M.S.
• Coleen C Garcia, PT
• Faustino H. Garcia Jr., PHYSICAL THERAPIST
• Kimberly Gardner
• Stephanie Jeannette Gardner

• Clinical Social Worker in Martin, TN
• Providers in Martin, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.