MRS. JENNIFER FULLER
NPI 1053962647
Social Worker - Clinical in Jackson, MI

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
2652 SPRING ARBOR RD, JACKSON, MI 49203(517) 960-9023 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jennifer Fuller NPPES

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

MRS. JENNIFER FULLER (NPI 1053962647) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801101652) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053962647
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JENNIFER FULLER
Location Address2652 SPRING ARBOR RDJackson, MI 49203-3604
Mailing Address531 N Pleasant StJackson, MI 49202-3623 · (517) 960-9023
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2019
NPI 1053962647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801101652
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.

2652 SPRING ARBOR RD, Jackson, MI 49203

Accepted Insurance

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

Mrs. Jennifer Fuller 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.

PECOS PAC ID7315481785
PECOS Enrollment IDI20240627000721
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 49203 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 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $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 12

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

Social Worker (Clinical)
2652 SPRING ARBOR RD
JACKSON, MI 49203
Social Worker
2652 SPRING ARBOR RD
JACKSON, MI 49203
Social Worker
2652 SPRING ARBOR RD
JACKSON, MI 49203
Counselor
2652 SPRING ARBOR RD
JACKSON, MI 49203
Counselor
2652 SPRING ARBOR RD
JACKSON, MI 49203
Social Worker (Clinical)
2652 SPRING ARBOR RD
JACKSON, MI 49203
Counselor
2652 SPRING ARBOR RD
JACKSON, MI 49203
Counselor
2652 SPRING ARBOR RD
JACKSON, MI 49203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053962647, enumerated as an "individual" on September 25, 2019.

The provider is located at 2652 SPRING ARBOR RD JACKSON, MI 49203 and the phone number is (517) 960-9023.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.