Georgia Lynn Fulgenzi, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016031 Issued in PA

Practice address

1 Williamsburg PL
#220
Warrendale, PA 15086-7540

Phone

(724) 814-9521

NPI assigned

Jul 25, 2006

Last updated

Jul 5, 2016By the provider in NPPES

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

Other identifiers 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1871516732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIAN PINE LN",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907594",
            "telephone_number": "724-935-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAMSBURG PL",
            "address_2": "#220",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867540",
            "telephone_number": "724-814-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGENZI",
        "first_name": "GEORGIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "627369",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102769256 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marraway Fincke, PHARMD
• Find Your Balance LLC
• Christina Marie Flamino, PHARM.D.
• Christina Marie Forte, PHARMD
• Sandra Anne Francis, LCSW
• Gabriel LM Crawford Counseling & Psychotherapy (St. George Counseling Clinic)
• Christine Gardner, RPH, PHARMD
• Golden Bridges Senior Services, LLC
• Gpna
• Jamilyn Graff, PHARMD

• Clinical Social Worker in Warrendale, PA
• Providers in Warrendale, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.