Samantha Jane Gordon Fuld, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22368 Issued in MD

Practice address

1238 Towson St
Baltimore, MD 21230-5326

Phone

(989) 751-1087

NPI assigned

Mar 23, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1619291465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 TOWSON ST APT 3E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305326",
            "telephone_number": "989-751-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 TOWSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305326",
            "telephone_number": "989-751-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 48th Ave",
            "address_2": "Apt 3E",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111095535",
            "country_code": "US",
            "telephone_number": "989-751-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULD",
        "first_name": "SAMANTHA",
        "middle_name": "JANE GORDON",
        "name_prefix": "Dr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081546",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Isabel Fuhr
• Alena Marie Fuhrman, DNP, CPNP-AC
• Benjamin Allen Fujita-Howie, MD, MPH
• Felicia Fulcher
• Elisa Sue Fuld, LCSW-C
• Fulera Healthcare LLC
• Full Bloom Therapy & Wellness LLC
• Full Circle Therapy LLC
• Full Potential DMV
• Full Speed Physical Therapy

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Jan 8, 2021; 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.