Active NPI
Denna Fulton LCSW LLC
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1699234286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DENNA FULTON LCSW LLC
- Practice address
- 345 W 13TH Ave RM 2
Eugene, OR 97401-3483 - Phone
- (541) 632-4800
- Fax
- (541) 632-4810
- NPI assigned
- Mar 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Denna Marie Fulton, MSW LCSW CADCIII MAC
- Title
- Owner/Therapist
- Phone
- (541) 632-4800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
345 W 13TH Ave RM 2
Eugene, OR 97401-3483
Mailing address
923 E 36TH Ave
Eugene, OR 97405-4352
Phone (541) 232-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
345 W 13th Ave
Rm 2
Eugene, OR 97401
Phone (541) 632-4800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Springfield, OR
- NPI 1235464504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1699234286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 E 36TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974054352",
"telephone_number": "541-232-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W 13TH AVE RM 2",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013483",
"telephone_number": "541-632-4800",
"fax_number": "541-632-4810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNA FULTON LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "FULTON",
"authorized_official_first_name": "DENNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "541-632-4800",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW LCSW CADCIII MAC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.