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

Larkin Ellison Fultz, LCSW

Individual provider Clinical Social Worker · NPI 1063462752

Larkin Ellison Fultz, LCSW is a Clinical Social Worker in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

4038 Desoto St
Mandeville, LA 70471
Phone: (985) 264-1683
Fax: (985) 892-2287
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 4030 (LA)

Record details

NPI number1063462752
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESMarch 8, 2016

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