Dale W Fuller is a Clinical in Syracuse, New York. Dale W Fuller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dale W Fuller is 1053472514. The last update date is 2013-10-31.
Dale W Fuller's current location address is 742 James Street, Syracuse, New York. You can contact this provider via phone number 3157032700 and fax number 3157032730. The mailing address for Dale W Fuller is 742 James Street, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale W Fuller |
|---|---|
| Address | 742 James Street, Syracuse, New York |
| Phone Number | 3157032700 |
| Fax Number | 3157032730 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053472514 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2013-10-31 |
Provider Mailing Address Detail
| Address | 742 James Street |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 13203 |
| Phone Number | 3157032700 |
| Fax Number | 3157032730 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R033210 |
|
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 |
|
Post Comment/ Review Below
What is the Dale W Fuller's 1053472514?
The Dale W Fuller's NPI (National Provider Identifier) Number is 1053472514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dale W Fuller?
The Dale W Fuller is physically situated at 742 James Street, in the city of Syracuse, state of NY, with the postal code 13203.
What is Dale W Fuller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dale W Fuller'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 Dale W Fuller receive the assignment of its 1053472514 from the Centers for Medicare & Medicaid Services?
The Dale W Fuller was issued its 1053472514 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information regarding Dale W Fuller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dale W Fuller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-31.
NPI Number: 1801899679
Address: 9421 Eastside Drive Extention, Newton, MS
NPI Number: 1689676850
Address: 805 Burkesville St, Columbia, KY
NPI Number: 1780688671
Address: 1411 W Broadway, Centralia, IL