C.H. Fuller & Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

299 Issued in TX

Legal business name

C.H. FULLER & ASSOCIATES LLC

Practice address

12951 Huebner Rd Ste 781466
San Antonio, TX 78230-9998

Phone

(210) 970-1511

NPI assigned

Oct 11, 2013

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clifton Henry Fuller, LMSW, LPC, LMFTNPI 1831202613

Title

Owner

Phone

(210) 970-1511

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clifton Henry Fuller, LCSW, LPC, LMFT

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1831202613

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1609203413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 HUEBNER RD STE 781466",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782309998",
            "telephone_number": "210-970-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 HUEBNER RD STE 781466",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782309998",
            "telephone_number": "210-970-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.H. FULLER & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-970-1511",
        "authorized_official_credential": "LMSW, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "299",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.