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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA LYNN FULGHAM, LCSW

Active Sole Proprietor

TARA LYNN FULGHAM, LCSW is a Clinical Social Worker healthcare provider located in CHEEKTOWAGA, New York. NPI 1174398267 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHEEKTOWAGA, NY

Registration Details

NPI Number
1174398267
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2023 (2.7359282929167 yrs)
Last Updated
Nov 17, 2023
License
096102-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
159 CENTURY RD
CHEEKTOWAGA, NY, 142151309
Browse NY providers · Browse ZIP 14215
Phone
7164003563
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CHEEKTOWAGA, NY

Name Credential NPI
DIANE L. SHULTZ LCSW-R 1568429579
DAVID CASASSA LCSWR 1184655524
MR. GLEN WILLIAM BRIGGS LCSW-R 1285730614
KRISTIN E. BRANDEL LCSW-R 1871687400
MR. JOHN J. FLYNN LCSWR 1053408807
MRS. NICOLE ELIZABETH WOLASZ LCSW-R 1831279454
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.