Rowena Fuller, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

C-08827 Issued in NM

Practice address

6400 Uptown Blvd NE
Albuquerque, NM 87110-4202

Phone

(505) 855-9947

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1609422161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25704",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871250704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 UPTOWN BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104202",
            "telephone_number": "505-855-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ROWENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "C-08827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastazia M Fuller
• Barbara B Fuller, PT
• Frances Fuller, LMSW
• Janell Fuller, MD
• Lisa Fuller, LCSW
• Melissa Lee Fullmer, LMT
• Adam Fulton, CSW
• Pamela Angel Fulton, NP
• Shawn Lee Fultz, M.D., J.D., M.P.H.
• Functional Aquatics Therapy

• School Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.