| Janet Fultz, LCSW | |
| 
					840 Interstate Dr, Grayson, KY 41143-1768  | |
| (606) 329-8588 | |
| Not Available | 
| Full Name | Janet Fultz | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 840 Interstate Dr, Grayson, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184332470 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 256518 (Kentucky) | Primary | 
| Entity Name | Pathways Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Janet Fultz, LCSW Po Box 790, Ashland, KY 41105-0790 Ph: (160) 632-9858  | Janet Fultz, LCSW 840 Interstate Dr, Grayson, KY 41143-1768 Ph: (606) 329-8588  | 
Veronica Lynn Burton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 866-233-1955 Fax: 606-329-1530  | |
Candy A Colyer, LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 207 N Carol Malone Blvd, Grayson, KY 41143 Phone: 606-225-8200 Fax: 888-606-7354  | |
Cameron Tye Hamilton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-713-0379 Fax: 606-547-4329  | |
Miss Alyssa Grace Robinson I, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 Lakewood Dr, Grayson, KY 41143 Phone: 606-694-9577  |