Kit Fuller, LMSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089969 Issued in MI

Legal business name

KIT FULLER, LMSW, LLC

Practice address

2890 Carpenter Rd Ste 1500
Ann Arbor, MI 48108-1196

Phone

(734) 255-3342

Fax

(844) 364-8448

NPI assigned

Sep 12, 2017

Last updated

Jun 23, 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

Katherine Fuller, MSWNPI 1407068281

Title

Owner

Phone

(734) 255-3342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Katherine Angel Fuller

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1407068281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1700305687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081196",
            "telephone_number": "734-255-3342",
            "fax_number": "844-364-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081196",
            "telephone_number": "734-255-3342",
            "fax_number": "844-364-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIT FULLER, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-255-3342",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron J Kirsch, M.D.
• Ned L Kirsch, PHD
• Polly Kirsch
• Nell Burger Kirst, M.D.
• Steven Anthony Kish, CRNA
• Katherine Kitchen Andren, PH.D.
• Tiffani Kitching
• Irene Kitromelides, MD
• Peter J Kitto, PT
• Christine Ann Kivlen

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.