Mrs Patricia Link Fulkerson, LCSW | |
2215 Portland Ave, Louisville, KY 40212 | |
(502) 774-8631 | |
(502) 778-3499 |
Full Name | Mrs Patricia Link Fulkerson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2215 Portland Ave, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386778710 | NPI | - | NPPES |
7100129170 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004682A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 1934 (Kentucky) | Primary |
Entity Name | Family Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045 |
Mailing Address | Practice Location Address |
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Mrs Patricia Link Fulkerson, LCSW Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700 | Mrs Patricia Link Fulkerson, LCSW 2215 Portland Ave, Louisville, KY 40212 Ph: (502) 774-8631 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 | |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 | |
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 | |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 | |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 | |
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466 | |
David Huey Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 S 4th St Ste 842, Louisville, KY 40202 Phone: 502-584-7216 Fax: 502-585-5373 |