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MS. CARRIE VENUS FULLER LCSW
NPI 1376636563
Social Worker - Clinical in Newburgh, NY

Active since October 02, 2006PECOS Enrolled
21 GRAND ST, NEWBURGH, NY 12550(845) 562-7244 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carrie Venus Fuller Lcsw NPPES

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

MS. CARRIE VENUS FULLER LCSW (NPI 1376636563) is an individual clinical provider in Newburgh, New York, licensed in New York (R050688-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376636563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CARRIE VENUS FULLERCredential: LCSW
Location Address21 GRAND STNewburgh, NY 12550-5628
Mailing Address21 Grand StNewburgh, NY 12550-5628 · (845) 562-7244
Phone(845) 562-7244
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1376636563 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 NY · R050688-1
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.
21 GRAND ST, Newburgh, NY 12550
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Other Identifiers 1

Medicare PINN28N53NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carrie Venus Fuller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12550 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

CHAVA ABRAMOVITZ
Social Worker
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 725-8373
BRENDAN LEO REILLY CERTIFIED PEER SPEC.
Peer Specialist
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 238-6806
TAMI AMODIO LMSW
Social Worker (Clinical)
21 GRAND ST
NEWBURGH, NY 12550
Orange County (518) 929-2385
AMY SANTOS RN
Registered Nurse
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 562-7244
TORI HUGHES LMHC-LP
Counselor (Professional)
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 562-7244
BRENDAN COLSON LMSW
Social Worker
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 562-7244
MELISSA QUINN LMSW
Social Worker
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 725-8367
MS. LAURA ANN BROWN
Social Worker
21 GRAND ST
NEWBURGH, NY 12550
Orange County (845) 245-4477

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 Carrie Fuller's NPI number?

The NPI number for Carrie Fuller is 1376636563. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Carrie Fuller located?

Carrie Fuller practices at 21 Grand St, Newburgh, NY 12550. The listed phone number is (845) 562-7244.

What is Carrie Fuller's specialty?

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

Is Carrie Fuller enrolled in Medicare?

Yes. Carrie Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Fuller was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.