Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN THEODORE FULFORD, LMSW
Active Sole ProprietorEVAN THEODORE FULFORD, LMSW is a Clinical Social Worker healthcare provider located in DETROIT, Michigan. NPI 1669091286 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DETROIT, MI
Registration Details
- NPI Number
- 1669091286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2020 (6.3133441426296 yrs)
- Last Updated
- Apr 14, 2020
- License
-
6801106033 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19928 LICHFIELD RDDETROIT, MI, 482211363Browse MI providers · Browse ZIP 48221
- Phone
- 3138048128
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| RITA I MCLEAN | MSW | 1235176736 |
| TIMOTHY D SHEEHY | LMSW | 1710925839 |
| GLORIA JACKSON | MSW | 1205874369 |
| JAVEED SYED | — | 1710925870 |
| STEPHANIE A WILLIAMS | MSW | 1609814771 |
| DORIS J JOHNSON | LMSW | 1235177304 |
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.