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

Kristle M Fullerton

Individual provider Clinical Social Worker · NPI 1124583729

Kristle M Fullerton is a Clinical Social Worker in Bel Air, Maryland. Qualified in 2018, 8 years ago. Practices with Premier Wellness Healthcare, a 9-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2019
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Practice location Address checks out

802 Baltimore Pike
Bel Air, MD 21014-4212
Phone: (443) 643-2422
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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

Record details

NPI number1124583729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2019
Last updated in NPPESFebruary 7, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Wellness Healthcare — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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