JESSICA FULLENKAMP
NPI 1396147849
Social Worker - Clinical in Highland Park, MI

Active since September 16, 2014
77 VICTOR ST, HIGHLAND PARK, MI 48203(313) 252-1950 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Fullenkamp NPPES

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

JESSICA FULLENKAMP (NPI 1396147849) is an individual clinical provider in Highland Park, Michigan, licensed in Michigan (6801092723) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1396147849
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA FULLENKAMP
Location Address77 VICTOR STHighland Park, MI 48203-3127
Mailing Address77 Victor StHighland Park, MI 48203-3127 · (313) 252-1950
Sole ProprietorNo
Enumeration DateSeptember 16, 2014
NPI 1396147849 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 MI · 6801092723
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.

77 VICTOR ST, Highland Park, MI 48203

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Pediatrics
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Psychologist (Family)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Counselor (Mental Health)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Technician, Other
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Case Manager/Care Coordinator
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Counselor (Mental Health)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Counselor (Professional)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Health Educator
77 VICTOR ST
HIGHLAND PARK, MI 48203
Behavior Analyst
77 VICTOR ST
HIGHLAND PARK, MI 48203
Community/Behavioral Health
77 VICTOR ST
HIGHLAND PARK, MI 48203
Counselor (Mental Health)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Counselor (Mental Health)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Psychologist (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203
Social Worker (Clinical)
77 VICTOR ST
HIGHLAND PARK, MI 48203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396147849, enumerated as an "individual" on September 16, 2014.

The provider is located at 77 VICTOR ST HIGHLAND PARK, MI 48203 and the phone number is (313) 252-1950.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.