Heather Fultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013215 Issued in NC

Practice address

7521 Matherly Dr
Wake Forest, NC 27587-8798

Phone

(919) 818-8384

NPI assigned

Mar 1, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1447717038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 MATHERLY DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 MATHERLY DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878798",
            "telephone_number": "919-818-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTZ",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred C. Nelson, Chiropractic Physician P.a.
• Brandilynn Freeman, FNP
• Joseph Todd Freeman, RPH
• John Donald Friedley, DPT
• Susan Rutkowski Fuller, NURSE PRACTITIONER
• Audrey Jean Furnas, PA-C
• G. Christopher Martin DDS, PA II
• Sally Martin Gadd, LPC
• Gahc3 Wake Forest NC TRS Sub, LLC
• Edward Michael Galiczynski Jr., DO

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.