J Denise Fuller in Rancho Cucamonga - Clinical

J Denise Fuller - NPI 1811017866

J Denise Fuller is a Clinical in Rancho Cucamonga, California. J Denise Fuller practices all healthcare services and medical treatments related to Clinical. The NPI Number for J Denise Fuller is 1811017866. The last update date is 2020-07-13.

J Denise Fuller's current location address is 9166 Anaheim Pl, Rancho Cucamonga, California. You can contact this provider via phone number 9163440199. The mailing address for J Denise Fuller is 9166 Anaheim Pl, Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Name J Denise Fuller
Address 9166 Anaheim Pl, Rancho Cucamonga, California
Phone Number 9163440199
Fax Number
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1811017866
Provider Enumeration Date 2007-03-30
Last Updated Date 2020-07-13

Provider Mailing Address Detail

Address 9166 Anaheim Pl
City Rancho Cucamonga
State California (CA)
Post Code 917308541
Phone Number 9163440199
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 25256
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1536011 CA MEDI-CAL

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FAQs about J Denise Fuller

What is the J Denise Fuller's 1811017866?

The J Denise Fuller's NPI (National Provider Identifier) Number is 1811017866. 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 J Denise Fuller?

The J Denise Fuller is physically situated at 9166 Anaheim Pl, in the city of Rancho Cucamonga, state of CA, with the postal code 917308541.

What is J Denise Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for J Denise Fuller is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811017866 to J Denise Fuller?

The J Denise Fuller received its 1811017866 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.

When was the information pertaining to J Denise Fuller most recently updated or revised?

The details related to J Denise Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2020-07-13.

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