Active NPI
Glenda Michelle Fulmer, LSW
- Social Worker
- Oil City, PA
National Provider Identifier
1376041566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133950
- Practice address
- 716 E 2ND St
Oil City, PA 16301-2330 - Phone
- (814) 677-4005
- Fax
- (814) 677-6159
- NPI assigned
- Jan 23, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133950 | PA | Primary |
Addresses
Primary practice location
716 E 2ND St
Oil City, PA 16301-2330
Mailing address
716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133950 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service and Children'S Aid Society of Venango County | Current | Accepting new patients | |
| Family Service and Children'S Aid Society of Venango County | Past | Accepting new patients |
Locations
716 E 2nd St
Oil City, PA 16301
Phone (814) 677-4005
119 E Mechanic St
#A
Titusville, PA 16354
Phone (814) 677-4005
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.
-
- Community/Behavioral Health Agency
- Oil City, PA
- NPI 1225233885
-
- Community/Behavioral Health Agency
- Titusville, PA
- NPI 1689047136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1376041566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E 2ND ST",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163012330",
"telephone_number": "814-677-4005",
"fax_number": "814-677-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 2ND ST",
"city": "OIL CITY",
"state": "PA",
"postal_code": "163012330",
"telephone_number": "814-677-4005",
"fax_number": "814-677-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "GLENDA",
"middle_name": "MICHELLE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oil City, PA
- Family Service and Children'S Aid Society of Venango County
- Family Service and Children'S Aid Society of Venango County
- Family Service and Children'S Aid Society of Venango County
- Family Service and Children'S Aid Society of Venango County
- Kylie Feltenberger, BSW
- Katy Ghering, LPN
- Glenview Apothecary Inc.
- Kathryn Goodwin, RN
- Kay Elaine Gordon Brewster, LCSW
- Steven Joseph Gregoritch, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.