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

Shelly Fulford Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1295461648

Shelly Fulford Wilson, LCSW is a Clinical Social Worker in Fernandina Beach, Florida. Qualified in 1993, 33 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Licensed in
FL
In the registry since
2022
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

2127 Blue Heron Ct
Fernandina Beach, FL 32034-4475
Phone: (904) 206-1028
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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 SW10273 (FL)

Record details

NPI number1295461648
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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