Marcella E Fulton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002643 Issued in GA

Practice address

1842 Independence SQ Ste D
Dunwoody, GA 30338-5168

Phone

(404) 643-9889

NPI assigned

Dec 10, 2007

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 GA

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, 1989

Medicare assignment

May accept Medicare assignment

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.

• Integrative Medical Behavioral Healthcare, LLC

  • Clinical Social Worker
  • Dunwoody, GA
  • NPI 1316496425

  GA

  Medicare reassignment Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA

  Medicare reassignment NPD
• Susan E Tutty LLC

  • Clinical Social Worker
  • Dunwoody, GA
  • NPI 1558823955

  Clinical

  NPD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1568645802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "404-643-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 INDEPENDENCE SQ STE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385168",
            "telephone_number": "404-643-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MARCELLA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret Daniel Freedman, D.M.D.
• Michael Freeman, PH.D.
• Lisa Friedman, MA SLP
• Nachman Friedman, MS
• Jessica Frishberg Fuchs
• Ga Doctors of Optometry LLC
• Priyal Dilipkumar Gadani, O.D.
• John McCollum Garrett, D.D.S.
• Lindsey Monet Garrett
• Christina Tyree Gary, FNP

• All providers in Dunwoody, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.