Crystal Fuller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2336 Wisteria Dr
Snellville, GA 30078-6191

Phone

(770) 733-1469

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1710872130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 HILLANDALE DR APT 1524",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584925",
            "telephone_number": "850-567-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-733-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert French, DDS
• Freshlife Housing LLC
• Patricio A Frias
• Jacelyn Frierson, DNP, APRN, CPNP-PC
• Alexandra Fuetterer, RBT
• Deborah E. Fuller
• Nicaler Pashanna Fuller
• Michael D Funderburk, MD
• Dariasz Raphviale Furlow, CERTIFIED NURSE AIDE
• Jenna Corinne Coon Fussell, MD

• Clinical Social Worker in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.