Marcus Austin Fulton

Primary specialty

Social WorkerTaxonomy code 104100000X

License

31115 Issued in MD

Practice address

1410 Crain Hwy N Ste 2B
Glen Burnie, MD 21061-9304

Phone

(410) 553-4450

NPI assigned

Apr 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Advanced Behavioral Health Solutions - LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1154993350
  NPD
• Bay Area Counseling & Consultation, LLC

  • Clinical Social Worker
  • Severna Park, MD
  • NPI 1588207955
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1124872619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EDELTON AVE",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443236",
            "telephone_number": "410-980-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HWY N STE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619304",
            "telephone_number": "410-553-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MARCUS",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "31115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Franz, D.D.S
• Logan H Fraser, AU.D.
• Elizabeth A Fronc, MD
• Linda S Frost, RN
• Drew C Fuller, M.D.
• G.E.M.S. Psychotherapy
• Elizabeth Gabelman
• Bhupendra K Gadani, RPH
• Shyann Leigh Gajcowski
• Mineille N Gakuu

• Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.