Denise Renee Fuller, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072701 Issued in NY

Practice address

8201 Main St
Suite 11
Williamsville, NY 14221-6046

Phone

(716) 276-8320

Fax

(716) 247-4326

NPI assigned

Oct 30, 2007

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Milissa Cerio

  • Social Worker
  • Elmira, NY
  • NPI 1548479843
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1760661474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-276-8320",
            "fax_number": "716-247-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-276-8320",
            "fax_number": "716-247-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheng Shung Fu, MD
• Philip Fu, MD
• Zhipei Fu, ACUPUNCTURIST
• Amanda Christine Full, LMSW
• Skyler Full, LCSW
• Michael Fuller, MD
• Rhonda Fuller, LPN
• Richard Fuller, PHARM.D
• Jonathon Furlong, L.P.N.
• Kimberly Rose Gabel, PHARMD

• Clinical Social Worker in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.