Debra Jane Fuller-Phelps, MA, MS, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

AP00940875 Issued in WV

Practice address

1102 Memorial Blvd W
Huntington, WV 25701-4540

Phone

(304) 523-9454

Fax

(304) 525-7038

NPI assigned

Apr 18, 2023

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1578259974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014540",
            "telephone_number": "304-523-9454",
            "fax_number": "304-525-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MEMORIAL BLVD W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014540",
            "telephone_number": "304-523-9454",
            "fax_number": "304-525-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER-PHELPS",
        "first_name": "DEBRA",
        "middle_name": "JANE",
        "credential": "MA, MS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00940875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadassah D Frye, MD
• Melody G. Frye, LPC
• Bryan Fugate
• Gilbert Michael Fulks, RPH
• A Nedra Yulonda Fuller Terry, DPM
• Jeremy D Fuller, MD
• Jillian Fuller
• Katelen Fuller
• Kenneth Fuller
• Tammey Fuller, R.N.

• Social Worker in Huntington, WV
• Providers in Huntington, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.