Albert Fullwood Sr, is a
Social Worker based in Shreveport, Louisiana. Albert Fullwood Sr is licensed to practice in Louisiana (license number 16059) and his current practice location is
6015 Hearne Ave, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 213-0904.
NPI number for Albert Fullwood Sr is 1194270405 and his current mailing address is 1717 Marshall St, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194270405.
Healthcare Provider's Profile
Full Name | Albert Fullwood Sr |
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Gender | Male |
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Speciality | Social Worker |
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Location | 6015 Hearne Ave, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194270405
- Provider Enumeration Date: 08/17/2016
- Last Update Date: 08/13/2024
Medical Identifiers
Medical identifiers for Albert Fullwood Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194270405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 600720427 (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | 16059 (Louisiana) | Secondary |
104100000X | Social Worker | 16059 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Albert Fullwood Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Albert Fullwood Sr, 1717 Marshall St, Shreveport, LA 71101-4139 Ph: () - | Albert Fullwood Sr, 6015 Hearne Ave, Shreveport, LA 71108-3803 Ph: (318) 213-0904 |
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