Active NPI
Erin Fuller, SW135581
- Social Worker
- Newville, PA
National Provider Identifier
1144819491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW135581
- Practice address
- 156 Crossroad School Rd
Newville, PA 17241-9570 - Phone
- (814) 876-2421
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW135581 | PA | Primary |
Addresses
Primary practice location
156 Crossroad School Rd
Newville, PA 17241-9570
Mailing address
156 Crossroad School Rd
Newville, PA 17241-9570
Phone (814) 876-2421
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Newville |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW135581 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1144819491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CROSSROAD SCHOOL RD",
"city": "NEWVILLE",
"state": "PA",
"postal_code": "172419570",
"telephone_number": "814-876-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 CROSSROAD SCHOOL RD",
"city": "NEWVILLE",
"state": "PA",
"postal_code": "172419570",
"telephone_number": "814-876-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ERIN",
"credential": "SW135581",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW135581",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Newville",
"affiliation": "N",
"address_1": "156 Crossroad School Rd",
"city": "Newville",
"state": "PA",
"country_code": "US",
"postal_code": "172419570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.