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JENNIFER FULLWOOD
NPI 1184290876
Social Worker - Clinical in Orlando, FL

Active since June 02, 2021
5115 ANZIO ST, ORLANDO, FL 32819(321) 290-0898 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Fullwood NPPES

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

JENNIFER FULLWOOD (NPI 1184290876) is an individual clinical provider in Orlando, Florida and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1184290876
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER FULLWOOD
Location Address5115 ANZIO STOrlando, FL 32819-8407
Mailing Address2531 Settlers TrlSaint Cloud, FL 34772-8514
Phone(321) 290-0898
Sole ProprietorNo
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1184290876 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.
5115 ANZIO ST, Orlando, FL 32819
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Other Providers at the Same Location NPPES 3

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

GRACE MARGIOTTA
Social Worker (Clinical)
5115 ANZIO ST
ORLANDO, FL 32819
Orange County (407) 226-1714
ROCIO POZO FERNANDEZ
Behavior Analyst
5115 ANZIO ST
ORLANDO, FL 32819
Orange County (407) 354-2630
MS. BERTHA AUGUSTUS MSW
Counselor (Mental Health)
5115 ANZIO ST
ORLANDO, FL 32819
Orange County (407) 266-1714

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 Jennifer Fullwood's NPI number?

The NPI number for Jennifer Fullwood is 1184290876. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Jennifer Fullwood located?

Jennifer Fullwood practices at 5115 Anzio St, Orlando, FL 32819. The listed phone number is (321) 290-0898.

What is Jennifer Fullwood'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 Jennifer Fullwood was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.