Organization Active NPI

Barbara B Fuller, LCSW,P.a.

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1245355239
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0000857 Issued in FL
Legal business name
BARBARA B FULLER, LCSW,P.A.
Practice address
800 N Ferncreek Ave
Suite 2
Orlando, FL 32803-4127
Phone
(407) 894-5666
Fax
(407) 898-9321
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara B Fuller, LCSWNPI 1861467896
Title
President
Phone
(407) 894-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 0748AD363501 FL
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW0000857 FL Primary

Addresses

Primary practice location

800 N Ferncreek Ave
Suite 2
Orlando, FL 32803-4127

Mailing address

800 N Ferncreek Ave
Suite 2
Orlando, FL 32803-4127
Phone (407) 894-5666

National Provider Directory

National Provider Directory

Locations

800 N Fern Creek Ave
Ste 2
Orlando, FL 32803
Phone (407) 894-5666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1245355239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FERNCREEK AVE",
            "address_2": "SUITE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034127",
            "telephone_number": "407-894-5666",
            "fax_number": "407-898-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FERNCREEK AVE",
            "address_2": "SUITE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034127",
            "telephone_number": "407-894-5666",
            "fax_number": "407-898-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA B FULLER, LCSW,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-894-5666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0748AD363501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0000857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.