Active NPI
Cecelia Fuller, LLMSW
- Social Worker
- Greenville, MI
National Provider Identifier
1700767969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851119228
- Practice address
- 118 S Greenville West Dr Ste B
Greenville, MI 48838-3554 - Phone
- (616) 805-3660
- NPI assigned
- Sep 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851119228 | MI | Primary |
Addresses
Primary practice location
118 S Greenville West Dr Ste B
Greenville, MI 48838-3554
Mailing address
13150 Spruce Ridge Rd
Gowen, MI 49326-9566
Phone (517) 303-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851119228 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of West Michigan, LLC | Current | Accepting new patients |
Locations
118 S Greenville West Dr
Ste B
Greenville, MI 48838
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.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1437610730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700767969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13150 SPRUCE RIDGE RD",
"city": "GOWEN",
"state": "MI",
"postal_code": "493269566",
"telephone_number": "517-303-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S GREENVILLE WEST DR STE B",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488383554",
"telephone_number": "616-805-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "CECELIA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851119228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.