IndividualActive
Nicholas Fulks
NPI 1053812966 · Clinical Social Worker · Canton, OH
Provider details
- NPI number
- 1053812966
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- S.1700502 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Tuscarawas St W
Canton, OH 44702-2044
Phone: (330) 438-2400
Fax: (330) 823-7078
Street-level locationGet directions
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Registry dates
- Enumerated
- 2018-02-26
- Last updated
- 2018-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.