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

Individual provider Social Worker · NPI 1740436138

Patrick R Fullenkamp, LSW, LICDC is a Social Worker in Defiance, Ohio. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

511 Perry St
Defiance, OH 43512-2123
Phone: (419) 782-9920
Fax: (419) 784-2523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1740436138
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , LICDC
Sole proprietorNo
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008
Mailing address511 Perry St, Defiance, OH 43512-2123

Other providers in Defiance