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

Glynis Wikstrom Fullwood, LCSW

Individual provider Clinical Social Worker · NPI 1902467350

Glynis Wikstrom Fullwood, LCSW is a Clinical Social Worker in Chapel Hill, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

104 S Estes Dr Ste 301G
Chapel Hill, NC 27514-2848
Phone: (919) 931-5639
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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 C004458 (NC)

Record details

NPI number1902467350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019

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