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

Dr. Larry Elmer Fultz, PHD

Individual provider Clinical Social Worker · NPI 1164693172

Dr. Larry Elmer Fultz, PHD is a Clinical Social Worker in Baltimore, Maryland. Qualified in 1987, 39 years ago. Practices with White Marsh Psychiatric Associates, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
39
Licensed in
MD
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5024 Campbell Blvd Ste H
Baltimore, MD 21236
Phone: (410) 931-9280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 06248 (MD)

Record details

NPI number1164693172
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 18, 2008
Last updated in NPPESMarch 18, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice White Marsh Psychiatric Associates, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Baltimore