National Provider Identifier

Lisa Ann Fulmer, LCSW-R

Lisa Ann Fulmer, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Pittsford, NY and a listed phone number of (585) 314-9737.

NPI 1093086746Pittsford, NYClinical Social Worker

Profile Overview

NPI
1093086746
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 25, 2012
Last Updated
December 06, 2012

Practice Location

  • 20 Office Park Way
  • Tobey Village Office Park
  • Pittsford, NY 14534

Phone: (585) 314-9737

Mailing Address

  • 3108 Clover Street
  • Pittsford, NY 14534

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1093086746
Entity Type
Individual
Last Name
Fulmer
First Name
Lisa
Middle Name
Ann
Name Prefix
MS.
Credential
LCSW-R
Mailing Street Address
3108 Clover Street
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534
Mailing Country
US
Mailing Phone
(585) 314-9737
Mailing Fax
(585) 248-6797
Practice Street Address
20 Office Park Way
Practice Address Line 2
Tobey Village Office Park
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534
Practice Country
US
Practice Phone
(585) 314-9737
Practice Fax
(585) 248-6297
Enumeration Date
January 25, 2012
Last Updated
December 06, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)