Monica Anne Fullerton in Las Cruces - Clinical
Monica Anne Fullerton - NPI 1205046398
Monica Anne Fullerton is a Clinical in Las Cruces, New Mexico. Monica Anne Fullerton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Monica Anne Fullerton is 1205046398. The last update date is 2007-07-08.
Monica Anne Fullerton's current location address is 414 Keathley Dr, Las Cruces, New Mexico. You can contact this provider via phone number 5056498023. The mailing address for Monica Anne Fullerton is 414 Keathley Dr, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Anne Fullerton |
|---|---|
| Address | 414 Keathley Dr, Las Cruces, New Mexico |
| Phone Number | 5056498023 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1205046398 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 414 Keathley Dr |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880051614 |
| Phone Number | 5056498023 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-06460 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Monica Anne Fullerton's 1205046398?
The Monica Anne Fullerton's NPI (National Provider Identifier) Number is 1205046398. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Monica Anne Fullerton's physical address?
The Monica Anne Fullerton is physically located at 414 Keathley Dr, in the city of Las Cruces, NM, with the postal code 880051614.
What is Monica Anne Fullerton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Monica Anne Fullerton's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Monica Anne Fullerton receive its 1205046398 assignment from the Centers for Medicare & Medicaid Services?
The Monica Anne Fullerton was assigned its 1205046398 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the details pertaining to Monica Anne Fullerton last refreshed?
The information related to the Monica Anne Fullerton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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