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

Mrs. Juana Fulton, LCSW

Individual provider Mental Health Counselor · NPI 1649687450

Mrs. Juana Fulton, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2015, 11 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2014
Specialties on file
3
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

1250 Morena Blvd
San Diego, CA 92110-3815
Phone: (619) 692-8750
Fax: (619) 275-7343
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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 LCSW87062 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence ASW68292 (CA)

Record details

NPI number1649687450
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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