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JESSE SMITH-FULIA LCSW
NPI 1144018847
Social Worker - Clinical in Vienna, IL

Active since April 30, 2025
300 RED BUD LN, VIENNA, IL 62995(618) 658-3079 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Smith-fulia Lcsw NPPES

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

JESSE SMITH-FULIA LCSW (NPI 1144018847) is an individual clinical provider in Vienna, Illinois, licensed in Illinois (149029200) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1144018847
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSE SMITH-FULIACredential: LCSW
Location Address300 RED BUD LNVienna, IL 62995-1792
Mailing Address300 Red Bud LnVienna, IL 62995-1792 · (618) 658-3079
Phone(618) 658-3079
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1144018847 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 IL · 149029200
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.
300 RED BUD LN, Vienna, IL 62995
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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.

RAELYN MELTON LCSW
Social Worker (Clinical)
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
ARROWLEAF
Clinic/Center (Mental Health (Including Community Mental Health Center))
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
CHRISTOPHER HOLBROOK BS, MHP
Counselor (Mental Health)
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
ARROWLEAF
Clinic/Center (Mental Health (Including Community Mental Health Center))
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
MONIQUE DAVIS BS, LPN, MHP
Licensed Practical Nurse
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
KATHRYN BARBOUR BS, MHP
Counselor (Mental Health)
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
ROBYN BARKLEY MHP
Counselor (Addiction (Substance Use Disorder))
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079
MELISSA SMITH BSW, MHP
Counselor (Addiction (Substance Use Disorder))
300 RED BUD LN
VIENNA, IL 62995
Johnson County (618) 658-3079

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 Jesse Smith-fulia's NPI number?

The NPI number for Jesse Smith-fulia is 1144018847. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Jesse Smith-fulia located?

Jesse Smith-fulia practices at 300 Red Bud Ln, Vienna, IL 62995. The listed phone number is (618) 658-3079.

What is Jesse Smith-fulia'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 Jesse Smith-fulia was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.