William Fuller, LMSW, ACP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04604 Issued in TX

Practice address

242 N Magdalen St
San Angelo, TX 76903-5434

Phone

(325) 944-2561

Fax

(325) 653-4218

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandra White

  • Professional Counselor
  • Abilene, TX
  • NPI 1659318012
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1710146931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N MAGDALEN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035434",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N MAGDALEN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035434",
            "telephone_number": "325-944-2561",
            "fax_number": "325-653-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "WILLIAM",
        "credential": "LMSW, ACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "04604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406829-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny French, MD
• Fresenius Kidney Care Concho Valley, LLC (Fresenius Kidney Care San Angelo)
• Fresenius Kidney Care Concho Valley, LLC (Fresenius Kidney Care Red Arroyo)
• Clayton Edward Frost, OD
• Vivian Fuentes
• Sierra Halbrooks Fulton
• Fyzical Therapy and Balance Center - San Angelo LLC
• Wrennah L Gabbert, R.N,. C.PNP, F.N.P-C
• Melissa Renee Gabrielli, RN, FNP-BC
• Aryanna Marie Galindo, DO

• Clinical Social Worker in San Angelo, TX
• Providers in San Angelo, 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 Jun 3, 2008; 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.