Morgan Ann Fulton-Gorham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020383

Practice address

5016 N University St Ste 101
Peoria, IL 61614-4763

Phone

(309) 219-5384

NPI assigned

Nov 5, 2020

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 1

Other names 1

• Morgan Ann Fulton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• MFG Counseling Services. LLC

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1902554629
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1982205050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W CIRCLE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042501",
            "telephone_number": "309-219-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 N UNIVERSITY ST STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144763",
            "telephone_number": "309-219-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4541 N Prospect Rd Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Peoria Heights",
            "state": "IL",
            "postal_code": "616166529",
            "country_code": "US",
            "telephone_number": "309-323-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON-GORHAM",
        "first_name": "MORGAN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149020383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149020383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "FULTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Full Circle Counseling and Wellness, LLC
• Brianna Fullenkamp, PT, DPT
• Mark A Fuller
• Sarah Fuller, P,T,
• Laura Marie Fullerton, APN
• Emerick Fulton
• Kira Furkin, APN
• G&T Maintenance LLC
• G&T Maintenance LLC
• Gregory Lee Gaa, ATC, CSCS

• Clinical Social Worker in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.