KATY L FULLER LCSW-R
NPI 1275551392
Social Worker - Clinical in Queensbury, NY

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610(518) 824-2390 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Dec 8, 2022, Feb 13, 2017 and 1 more (4 updates tracked since 2015).

About Katy L Fuller Lcsw-r NPPES

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

KATY L FULLER LCSW-R (NPI 1275551392) is an individual clinical provider in Queensbury, New York and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glens Falls, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275551392
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATY L FULLERCredential: LCSW-R
Location Address161 CAREY RDQueensbury, NY 12804-7821
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 824-2390
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1275551392 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.

161 CAREY RD, Queensbury, NY 12804

Other Names 1

Former Name (1)Katy L Fountaine

Secondary Practice Location 1

Location 138 Larose StGlens Falls, NY 12801-3452 · Phone (518) 824-8181 · Fax (833) 819-0268

Other Identifiers 1

Medicaid04321573NY

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

Katy L Fuller Lcsw-r 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 ID6800995838
PECOS Enrollment IDI20070618000255
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 12804 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Physician Assistant
161 CAREY RD
QUEENSBURY, NY 12804
Clinic/Center (Primary Care)
161 CAREY RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Adult Health)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Family Medicine
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804

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 Katy Fuller's NPI number?

The NPI number for Katy Fuller is 1275551392. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Katy L Fountaine.

Where is Katy Fuller located?

Katy Fuller practices at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.

What is Katy Fuller's specialty?

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

Is Katy Fuller enrolled in Medicare?

Yes. Katy 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.

What insurance does Katy Fuller accept?

Health plans from Blue Cross and Blue Shield of Texas list Katy Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katy Fuller was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.