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SHANNON NICHOLE FULLER
NPI 1093969362
Social Worker - Clinical in Long Beach, CA

Active since November 12, 2008
3711 LONG BEACH BLVD, SUITE 600, LONG BEACH, CA 90807(562) 485-3062(562) 216-2337 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Nichole Fuller NPPES

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

SHANNON NICHOLE FULLER (NPI 1093969362) is an individual clinical provider in Long Beach, California and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1093969362
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON NICHOLE FULLER
Location Address3711 LONG BEACH BLVD, SUITE 600Long Beach, CA 90807-3315
Mailing Address3711 Long Beach Blvd, Suite 600Long Beach, CA 90807-3315 · (562) 485-3062 · Fax (562) 216-2337
Phone(562) 485-3062
Fax(562) 216-2337
Sole ProprietorNo
Enumeration DateNovember 12, 2008
✔ NPI 1093969362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3711 LONG BEACH BLVD, Long Beach, CA 90807
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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.

MS. IDALIA RAZO
Marriage & Family Therapist
3711 LONG BEACH BLVD, SUITE 600
LONG BEACH, CA 90807
Los Angeles County (562) 485-3038
DR. MARGARET VENTO-WILSON PHD, CCC-SLP
Speech-Language Pathologist
3711 LONG BEACH BLVD, SUITE 5046
LONG BEACH, CA 90807
Los Angeles County (562) 243-2334
MRS. SANDY SAMSON LCSW
Social Worker (Clinical)
3711 LONG BEACH BLVD, SUITE 600
LONG BEACH, CA 90807
Los Angeles County (562) 216-2341
MS. JUANA MUNIZ
Social Worker (Clinical)
3711 LONG BEACH BLVD, SUITE 600
LONG BEACH, CA 90807
Los Angeles County (562) 216-2335
AMBER SAMPSON MSW
Counselor (Mental Health)
3711 LONG BEACH BLVD
LONG BEACH, CA 90807
Los Angeles County (562) 485-3066
PACIFIC WELLNESS CENTER CHIROPRACTIC, ISEKE BELTRAN INC
Chiropractor
3711 LONG BEACH BLVD, SUITE 200
LONG BEACH, CA 90807
Los Angeles County (562) 426-2244
BORIS GELMAN MD, INC.
Anesthesiology
3711 LONG BEACH BLVD, SUITE 905
LONG BEACH, CA 90807
Los Angeles County (310) 469-5111
MR. PERRY HOROWITZ LCSW
Social Worker (Clinical)
3711 LONG BEACH BLVD, SUITE 600
LONG BEACH, CA 90807
Los Angeles County (562) 485-3069

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 Shannon Fuller's NPI number?

The NPI number for Shannon Fuller is 1093969362. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Shannon Fuller located?

Shannon Fuller practices at 3711 Long Beach Blvd Suite 600, Long Beach, CA 90807. The listed phone number is (562) 485-3062.

What is Shannon Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Fuller was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.