James Woodrow Fuller Jr., PH.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000574 Issued in VA

Practice address

8001 Franklin Farms Dr RM 225
Richmond, VA 23229-5117

Phone

(804) 967-0486

NPI assigned

Dec 12, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

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.

• James W Fuller PHD Inc

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1518054733
  Authorized official Same address or phone

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1750564829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LARKWOOD ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944105",
            "telephone_number": "804-967-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR RM 225",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295117",
            "telephone_number": "804-967-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JAMES",
        "middle_name": "WOODROW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Health Care
• Full Moon Pediatric Therapy LLC
• Full Potential Youth Services
• Courtney Midgette Fuller, R.PH.
• Frank Bernard Fuller III, PHARMD
• Latosha Fuller
• Nicholas Grey Fuller, RN
• Richard Westwood Fuller, M.D.
• Natalie Fullerton, PHARMD
• Francesca Mosteller Fultineer

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.