Jill Therese Fulton, LISW-S, LICDC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-0002356 Issued in OH

Practice address

8227 Brecksville Rd
Suite104
Brecksville, OH 44141-1370

Phone

(440) 526-0468

Fax

(440) 526-0454

NPI assigned

Jul 31, 2011

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Strongsville Psychological Services, Inc.Group PAC ID 5193740801, 10 clinicians

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 and National Provider Directory roles.

• Strongsville Psychological Services, Inc.

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1942347661
  Medicare reassignment Care Compare group NPD
• Eugene a Benedetto

  dba Benedetto and Associates

  • Clinical Social Worker
  • Brecksville, OH
  • NPI 1730131970
  NPD (past)

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341014400000",
    "number": "1528346137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "SUITE104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "SUITE104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "JILL",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2012-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0002356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Fisher
• Andrew Focareto
• Anita Joy Foster, LMT
• Fostering Forward Movement LLC
• Matthew A. Fuller, PHARM.D.
• Allison Captain Furst
• Kelly R Gajewski
• Katherine Ann Ganz, RN
• Mary Gary-Stephens, APRN
• Aaron M Gash, DC

• Social Worker in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2012; 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.