Individual provider Active NPI

Deborah Marlene Fuller, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1477101384
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25159 Issued in MD
Practice address
401 Hungerford Dr FL 3
Rockville, MD 20850-4154
Phone
(240) 961-2311
Fax
(240) 777-4000
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 25159 MD Primary

Addresses

Primary practice location

401 Hungerford Dr FL 3
Rockville, MD 20850-4154

Mailing address

401 Hungerford Dr FL 3
Rockville, MD 20850-4154
Phone (240) 961-2311

Other practice location 1

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241022001551 DC Practitioner - Clinical Social Worker 8921530452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25159MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross Social Worker Current Accepting new patients
Montgomery County Maryland Government CurrentSince Aug 10, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince Aug 10, 2024 Accepting new patients
Montgomery County Maryland Government CurrentSince Aug 10, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Oct 20, 2025 Accepting new patients
Montgomery County Maryland Government Current Accepting new patients

Locations

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1301 Piccard Dr
Rockville, MD 20850
Phone (240) 777-4000

401 Hungerford Dr
Fl 6
Rockville, MD 20850

7300 Calhoun Pl
Ste 600
Rockville, MD 20855
Phone (240) 777-1429

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

401 Hungerford Dr
Fl 3
Rockville, MD 20850
Phone (240) 961-2311

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8818 Georgia Ave
Fl 1
Silver Spring, MD 20910
Phone (240) 733-1211

Interoperability endpoints

  • Direct secure messaging: deborah.fuller.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 6

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1477101384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-961-2311",
            "fax_number": "240-777-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HUNGERFORD DR FL 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504154",
            "telephone_number": "240-961-2311",
            "fax_number": "240-777-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Forest Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
            "country_code": "US",
            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DEBORAH",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.