Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Fulscher Modlin, LICSW

Individual provider Clinical Social Worker · NPI 1528748464

Brooke Fulscher Modlin, LICSW is a Clinical Social Worker in Lewisburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

622 Jefferson St S
Lewisburg, WV 24901-2016
Phone: (303) 523-9052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence DP00946241 (WV)

Record details

NPI number1528748464
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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