Nicholas Fulks, | |
400 Tuscarawas St W, Canton, OH 44702-2044 | |
(330) 438-2400 | |
(330) 823-7078 |
Full Name | Nicholas Fulks |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 400 Tuscarawas St W, Canton, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053812966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S.1700502 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thrive Counseling Llc | 0749458420 | 848 |
Entity Name | Coleman Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085 |
Entity Name | Thrive Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210722002646 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Fulks, 5982 Rhodes Rd, Kent, OH 44240-8100 Ph: () - | Nicholas Fulks, 400 Tuscarawas St W, Canton, OH 44702-2044 Ph: (330) 438-2400 |
Mark Woods, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Randall Devney, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Kristina Marie Drummer, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Tuscarawas St W, Canton, OH 44702 Phone: 330-438-2400 | |
Susan Stroup, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-454-7066 | |
Kate Kelly, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Mrs. Jessica Rwejuna, MSSA-LSW S1440171 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Ohio Guidestone, 401 West Tuscarawas St, Suite 501, Canton, OH 44702 Phone: 440-260-8300 |