Charles Ka Ua Taylor-Fulton

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

279 Summit Dr
Waterford, MI 48328-3364

Phone

(248) 745-4900

Fax

(248) 994-8005

NPI assigned

Sep 12, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1659252856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 BEACON HILL DR APT 312",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263736",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-FULTON",
        "first_name": "CHARLES",
        "middle_name": "KA UA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Marie Szandzik, LLMSW
• Danielle Christine Talavera
• Brieanne Kathleen Tanner
• Mary Targosz, CNP
• Marco Antonio Tauil, DDS
• Marvin S Taylor, DDS
• Maxine Taylor
• Kelly A. Teague, LISW
• Teamwork Home Care, LLC
• Kailey Allison Temple, FNP-BC

• Social Worker in Waterford, MI
• Providers in Waterford, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.