MRS. FATIMAAH D FULLILOVE LSW, LICDC
NPI 1003329228
Social Worker - Clinical in Mentor, OH

Q: What is Fatimaah Fullilove's NPI number?

The NPI number for Fatimaah Fullilove is 1003329228. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Q: What is Fatimaah Fullilove's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 09, 2017PECOS Enrolled

7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Nov 1, 2023, May 20, 2021 and 1 more (4 updates tracked since 2017).

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About Mrs. Fatimaah D Fullilove Lsw, Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. FATIMAAH D FULLILOVE LSW, LICDC (NPI 1003329228) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (S.2106096) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003329228

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. FATIMAAH D FULLILOVECredential: LSW, LICDC

Location Address7232 JUSTIN WAYMentor, OH 44060-4881

Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200

Phone(440) 578-8200

Sole ProprietorYes

Enumeration DateNovember 9, 2017

Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1003329228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · S.2106096

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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 162016 (OH)

Also ListedSocial WorkerTaxonomy 104100000X · License 2106096 (OH)

7232 JUSTIN WAY, Mentor, OH 44060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Fatimaah D Fullilove Lsw, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY JONES M.D.

Psychiatry & Neurology (Psychiatry)