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

Individual provider Social Worker · NPI 1871965343

Carolyn Fulgham is a Social Worker in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone: (314) 367-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 N Gore Ave, Saint Louis, MO 63119-1600 — (314) 968-2060

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2020021039 (MO)
Social Worker Taxonomy 104100000X · Licence 2015029538 (MO)

Record details

NPI number1871965343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2015
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020

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