Active NPI
Elizabeth E. Fuller, LCSW
- Social Worker
- Webster, MA
National Provider Identifier
1720745854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 225581
- Practice address
- 340 Thompson Rd
Webster, MA 01570-1509 - Phone
- (508) 949-8905
- NPI assigned
- Nov 23, 2021
- Last updated
- Nov 23, 2021
- 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 | 225581 | MA | Primary |
Addresses
Primary practice location
340 Thompson Rd
Webster, MA 01570-1509
Mailing address
56 N Main St
North Grafton, MA 01536-1596
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 |
|---|---|---|---|
| 225581 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1720745854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 N MAIN ST",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 THOMPSON RD",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015701509",
"telephone_number": "508-949-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ELIZABETH",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "225581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.