Bre'Lyse L Fuls, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.1700565-SUPV Issued in OH

Practice address

3768 E Main St
Whitehall, OH 43213-2925

Phone

(513) 834-7063

Fax

(513) 873-1567

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brelyse L Thornton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1871901710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132925",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULS",
        "first_name": "BRE'LYSE",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700565-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRELYSE",
            "last_name": "THORNTON",
            "middle_name": "L",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Freeman, BSSW, LSW, CDCA
• Diana L French, LCDC III
• Kofi Anane Frimpong
• Katherine Rose Fringer
• Erin Fugett
• Breanne Elizabeth Gamble, MSW, LSW
• Olivia M Gamble
• Gardenia Home Health Care, LLC
• Tadesse Ketema Garedew
• Stephanie Gehres

• Social Worker in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.