Esonija Shavon Fulgham, LCSW-C, ABD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18748 Issued in MD

Practice address

8929 Shady Grove CT
Gaithersburg, MD 20877-1308

Phone

(410) 972-9465

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renu 2 LLC

  dba Renu 2

  • Clinic/Center
  • Silver Spring, MD
  • NPI 1073261889

  Clinical

  NPD Authorized official
• Families Organized for Renewal and Community Empowerment

  • Adult Mental Health Clinic/Center
  • Chesapeake, VA
  • NPI 1629807052

  Clinical

  NPD Authorized official
• Stewa Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McLean, VA
  • NPI 1548072325

  DC

  Medicare reassignment
• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960
  Care Compare group
• Souldier Seyyid Solutions, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1598030710

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1346674140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771308",
            "telephone_number": "410-972-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771308",
            "telephone_number": "410-972-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGHAM",
        "first_name": "ESONIJA",
        "middle_name": "SHAVON",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, ABD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H. Frome, DDS,MPH
• Judi Frum
• FRW Enterprises (Living in comfort)
• Ariela Fuchs, MS, OT
• Janet Nmi Fujikawa, D.O.
• Fundamental Behavior Services, LLC
• Laura Teresa Begosh Funkhouser, LCSW-C
• Lewis Funteh
• John Allan Furgeson
• Naomi Gabay-Schwab, CCC-SLP

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.