Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC is a
Social Worker - Clinical based in Fort Belvoir, Virginia. Ms Shannon Noelle Fulcrod is licensed to practice in Virginia (license number 0904007103) and her current practice location is
9300 Dewitt Loop, Fort Belvoir, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 231-1200.
NPI number for Ms Shannon Noelle Fulcrod is 1003241209 and her current mailing address is 9532 Airdrie Ln, 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 | 9300 Dewitt Loop, Fort Belvoir, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003241209
- Provider Enumeration Date: 09/06/2013
- Last Update Date: 11/07/2024
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
9532 Airdrie Ln,
Fredericksburg, VA 22408-9521
Ph: (540) 760-8985 | Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
9300 Dewitt Loop,
Fort Belvoir, VA 22060-5285
Ph: (571) 231-1200 |
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