Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC - Counselor in Fredericksburg, VA

Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC is a Social Worker - Clinical based in Fredericksburg, Virginia. Ms Shannon Noelle Fulcrod is licensed to practice in Virginia (license number 0904007103) and her current practice location is 1200 Sam Perry Blvd, Fredericksburg, Virginia. She can be reached at her office (for appointments etc.) via phone at (540) 760-8985.

NPI number for Ms Shannon Noelle Fulcrod is 1003241209 and her current mailing address is Po Box 7961, Fredericksburg, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003241209.

Contact Information

Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
1200 Sam Perry Blvd,
Fredericksburg, VA 22401-4456
(540) 760-8985
Not Available

Healthcare Provider's Profile

Full NameMs Shannon Noelle Fulcrod
GenderFemale
SpecialitySocial Worker - Clinical
Location1200 Sam Perry Blvd, Fredericksburg, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003241209
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 09/06/2013

Medical Identifiers

Medical identifiers for Ms Shannon Noelle Fulcrod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003241209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 0710102773 (Virginia)Secondary
1041C0700XSocial Worker - Clinical 0904007103 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shannon Noelle Fulcrod is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
Po Box 7961,
Fredericksburg, VA 22404-7961

Ph: (540) 760-8985
Ms Shannon Noelle Fulcrod, LCSW, CSAC, MAC
1200 Sam Perry Blvd,
Fredericksburg, VA 22401-4456

Ph: (540) 760-8985

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› Verified 6 days ago


Social Worker in Fredericksburg, VA


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