Active NPI
Perla Jamilette Fuller, MSW, LCSW
- Clinical Social Worker
- Winston Salem, NC
National Provider Identifier
1548850431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015439
- Practice address
- 1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006 - Phone
- (336) 713-9800
- Fax
- (336) 713-9619
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015439 | NC | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 713-9800
Other practice location 1
231 N Spring St
Greensboro, NC 27401-2231
Phone (336) 899-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions, PLLC | Clinical | Current | Accepting new patients |
Locations
231 N Spring St
Greensboro, NC 27401
Phone (336) 899-8800
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1548850431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-9800",
"fax_number": "336-713-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MARTIN LUTHER KING JR DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013006",
"telephone_number": "336-713-9800",
"fax_number": "336-713-9619"
}
],
"practiceLocations": [
{
"address_1": "231 N Spring St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274012231",
"country_code": "US",
"telephone_number": "336-899-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "PERLA",
"middle_name": "JAMILETTE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2024-04-17",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015439",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.