National Provider Identifier
Tara Lynn Fulgham, LCSW
Tara Lynn Fulgham, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 400-3563.
Profile Overview
- NPI
- 1174398267
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 17, 2023
- Last Updated
- November 17, 2023
Practice Location
- 159 Century RD
- Cheektowaga, NY 14215-1309
Phone: (716) 400-3563
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1174398267
- Entity Type
- Individual
- Last Name
- Fulgham
- First Name
- Tara
- Middle Name
- Lynn
- Credential
- LCSW
- Mailing Street Address
- 159 Century RD
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1309
- Mailing Country
- US
- Mailing Phone
- (716) 400-3563
- Practice Street Address
- 159 Century RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14215-1309
- Practice Country
- US
- Practice Phone
- (716) 400-3563
- Enumeration Date
- November 17, 2023
- Last Updated
- November 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)