MS. CARRIE VENUS FULLER LCSW
NPI 1376636563
Social Worker - Clinical in Newburgh, NY
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Carrie Venus Fuller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Carrie Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Windsor, NY 12553
- Reassigned Medicare billing, New York enrollment
- 13 clinicians in this Medicare group
Carmel, NY 10512
- Reassigned Medicare billing, New York enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Carrie Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Fuller reassigns Medicare benefits to 2 organizations: Michele Winchester-Vega Lcsw PLLC (New Windsor, NY) and Carmel Psychological Health, PC (Carmel, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrie Fuller accept?
Health plans from Oscar Health list Carrie 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 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.
# Ms. Carrie Venus Fuller, LCSW · NPI 1376636563
Clinical provider in Newburgh, New York. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1376636563 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** R050688-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 GRAND ST, Newburgh, NY 12550-5628
- **Phone:** (845) 562-7244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Michele Winchester-Vega Lcsw PLLC (NPI 1831429414, New Windsor, NY); Carmel Psychological Health, PC (NPI 1720194335, Carmel, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare PIN N28N53 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1376636563) · Data from the CMS NPPES public registry.