Elisa Sue Fuld, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20269 Issued in MD

Practice address

2833 Smith Ave Ste 404
Baltimore, MD 21209-1426

Phone

(443) 804-8265

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

Yes

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 MD, MS2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Golden Days Counseling LLC

  • Clinical Social Worker
  • Catonsville, MD
  • NPI 1801381942

  MS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1841795580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SMITH AVE STE 404",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091426",
            "telephone_number": "443-804-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 SMITH AVE STE 404",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091426",
            "telephone_number": "443-804-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULD",
        "first_name": "ELISA",
        "middle_name": "SUE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeriano P Fugoso, MD
• Laura Isabel Fuhr
• Alena Marie Fuhrman, DNP, CPNP-AC
• Benjamin Allen Fujita-Howie, MD, MPH
• Felicia Fulcher
• Samantha Jane Gordon Fuld, LCSW-C
• Fulera Healthcare LLC
• Full Bloom Therapy & Wellness LLC
• Full Circle Therapy LLC
• Full Potential DMV

• 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 Nov 14, 2018; 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.