MR. DALE W FULLER LCSW
NPI 1053472514
Social Worker - Clinical in Syracuse, NY
About Mr. Dale W Fuller Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALE W FULLER LCSW (NPI 1053472514) is an individual clinical provider in Syracuse, New York, licensed in New York (R033210) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Dale W Fuller Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13203
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 Dale Fuller's NPI number?
The NPI number for Dale Fuller is 1053472514. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Dale Fuller located?
Dale Fuller practices at 742 James Street, Syracuse, NY 13203. The listed phone number is (315) 703-2700.
What is Dale Fuller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dale Fuller enrolled in Medicare?
Yes. Dale Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Dale Fuller affiliated with any hospitals?
According to CMS data, Dale Fuller is affiliated with St Joseph's Hospital Health Center.
When was this NPI record last updated?
The NPPES record for Dale Fuller was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Dale W Fuller, LCSW · NPI 1053472514
Clinical provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1053472514 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** R033210 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 742 JAMES STREET, Syracuse, NY 13203
- **Phone:** (315) 703-2700 · **Fax:** (315) 703-2730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** October 31, 2013
- **Other identifiers:** Medicare PIN RA7965 (NY); Medicare ID-Type Unspecified CC1779
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Source: [NPI Profile](https://npiprofile.com/npi/1053472514) · Data from the CMS NPPES public registry.