Individual provider Active NPI

Heather Marie Casey Fuller, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1467146670
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07117 Issued in KS
Practice address
2500 W 31St St Ste G
Lawrence, KS 66047-3051
Phone
(785) 856-0322
NPI assigned
Jun 8, 2023
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07117 KS Primary

Addresses

Primary practice location

2500 W 31St St Ste G
Lawrence, KS 66047-3051

Mailing address

2500 W 31St St Ste G
Lawrence, KS 66047-3051
Phone (785) 856-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407002181 KS Practitioner - Clinical Social Worker 8921573981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Clinical Services LLCGroup PAC ID 8426468000, 3 clinicians

Practice addresses (Care Compare)

2500 W 31St St
Suite G
Lawrence, KS 66047-3051
Phone (913) 961-4937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13120KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Clinical Services, LLC Social Worker CurrentSince Jun 11, 2023 Accepting new patients

Locations

2500 W 31st St
Ste G
Lawrence, KS 66047
Phone (785) 856-0322

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1467146670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 31ST ST STE G",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473051",
            "telephone_number": "785-856-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 31ST ST STE G",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473051",
            "telephone_number": "785-856-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "HEATHER",
        "middle_name": "MARIE CASEY",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "07117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.