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

Kelley Fulkerson, LCSW

Individual provider Clinical Social Worker · NPI 1578942140

Kelley Fulkerson, LCSW is a Clinical Social Worker in Owensboro, Kentucky. Qualified in 2014, 12 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2015
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

2817 Veach Rd
Owensboro, KY 42303-6252
Phone: (270) 240-5312
Fax: (270) 495-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Nursing Home Ln, Pikeville, KY 41501-6896 — (910) 742-9243

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 253923 (KY)

Record details

NPI number1578942140
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 28, 2015
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Owensboro