Jessica Ashton Fuller, MSW, LCSW, LCAS,CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012637 Issued in NC

Practice address

233 Middle St Ste 105
New Bern, NC 28560-2101

Phone

(252) 228-9603

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1326560384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 POLLOCK ST",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285738812",
            "telephone_number": "252-670-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MIDDLE ST STE 105",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602101",
            "telephone_number": "252-228-9603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Middle St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285602142",
            "country_code": "US",
            "telephone_number": "252-670-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JESSICA",
        "middle_name": "ASHTON",
        "credential": "MSW, LCSW, LCAS,CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curt A Frogley, DC
• Michael McGraw Fujimagari, MD
• Jared Whitford Fulcher, PTA
• Wendy Sue Fulford, NP
• Christine Lynn Fulk, RN
• Fve SE Home Place New Bern LLC
• G. Anesthesia, PLLC
• Daniel Wendell Gabier, D.O.
• Rebecca B Gaeta, LMFT
• Olivia Galvao

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.