Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC is a
Social Worker - Clinical based in Fredericksburg, Virginia. Ms Shannon Noelle Fulcrod is licensed to practice in Virginia (license number 0904007103) and her current practice location is
1200 Sam Perry Blvd, Fredericksburg, Virginia. She can be reached at her office (for appointments etc.) via phone at
(540) 760-8985.
NPI number for Ms Shannon Noelle Fulcrod is 1003241209 and her current mailing address is Po Box 7961, Fredericksburg, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003241209.
Healthcare Provider's Profile
| Full Name | Ms Shannon Noelle Fulcrod |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1200 Sam Perry Blvd, Fredericksburg, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003241209
- Provider Enumeration Date: 09/06/2013
- Last Update Date: 09/06/2013
Medical Identifiers
Medical identifiers for Ms Shannon Noelle Fulcrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003241209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102773 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904007103 (Virginia) | 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. Ms Shannon Noelle Fulcrod 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 |
|---|
Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
Po Box 7961,
Fredericksburg, VA 22404-7961
Ph: (540) 760-8985 | Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
1200 Sam Perry Blvd,
Fredericksburg, VA 22401-4456
Ph: (540) 760-8985 |
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