Sarah Fullilove, LCSW
Individual provider Active NPI Clinical Social Worker · Savoy, IL
NPI 1194231977 · NPPES record last updated Dec 16, 2017
Key facts
- NPI
- 1194231977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.009957 (IL)
- Practice address
- 1401 Regency Dr E Ste a
Savoy, IL 61874-9312 - Phone
- (217) 722-2909
- NPI assigned
- Dec 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009957 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009957 | IL | Yes |
Addresses
Primary practice location
1401 Regency Dr E Ste a
Savoy, IL 61874-9312
Mailing address
1401 Regency Dr E Ste a
Savoy, IL 61874-9312
Phone (217) 722-2909
Other providers in Savoy, IL
- Scott J Erickson
- Erin Sturm Counseling, PLLC
- First Opinion Health Services (NC), PLLC
- Wendy Foley
- Rebecca Marie Freeman
- Rachel Anne Galiher
- Sheila Garrett
- Gossett Global Health Solutions PC
- Jacob Michael Gray
- Growing Edge Inc
All providers in Savoy, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.