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

Kaphazija Klara Fulmore, LCSWA

Individual provider Clinical Social Worker · NPI 1104506955

Kaphazija Klara Fulmore, LCSWA is a Clinical Social Worker in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

902 S Reilly Rd
Fayetteville, NC 28314-1825
Phone: (910) 491-6356
Fax: (910) 491-8128
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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 P018719 (NC)

Record details

NPI number1104506955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

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