DAVIDA DAWANA FULLER LCSW
NPI 1023858172
Social Worker - Clinical in Chicago, IL
About Davida Dawana Fuller Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVIDA DAWANA FULLER LCSW (NPI 1023858172) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149027199) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davida Dawana Fuller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Davida Fuller's NPI number?
The NPI number for Davida Fuller is 1023858172. It was assigned to this individual provider in the NPPES registry on May 28, 2024.
Where is Davida Fuller located?
Davida Fuller practices at 2000 N Racine Ave Ste 3300, Chicago, IL 60614. The listed phone number is (773) 413-9523.
What is Davida Fuller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Davida Fuller enrolled in Medicare?
Yes. Davida Fuller is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Davida Fuller was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
