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

SHELLY FULFORD WILSON, LCSW

Active Sole Proprietor

SHELLY FULFORD WILSON, LCSW is a Clinical Social Worker healthcare provider located in FERNANDINA BEACH, Florida. NPI 1295461648 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FERNANDINA BEACH, FL

Registration Details

NPI Number
1295461648
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2022 (4.0248439627905 yrs)
Last Updated
Jul 28, 2022
License
SW10273 (FL)
Sole Proprietor
Yes

Practice Information

Address
2127 BLUE HERON CT
FERNANDINA BEACH, FL, 320344475
Browse FL providers · Browse ZIP 32034
Phone
9042061028
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FERNANDINA BEACH, FL

Name Credential NPI
MICHELLE RAMPONE MSW, LCSW 1760406946
ROBIN ALBRIGHT NORTON LCSW 1457400178
MR. BYRON FRANK BEALL LCSW, BCBA 1225354087
MELISSA KENNER LCSW, LMSW 1295106409
GABRIELLA LEON ISW 1922551696
KELLY ANN SAYERS LCSW 1841784550
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.