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MS. KATHERINE ANGEL FULLER
NPI 1407068281
Social Worker - Clinical in Ann Arbor, MI

Active since May 04, 2007PECOS Enrolled
1785 W STADIUM BLVD STE 201C, ANN ARBOR, MI 48103(734) 255-3342(844) 364-8448 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Nov 17, 2017 (3 updates tracked since 2017).

About Ms. Katherine Angel Fuller NPPES

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

MS. KATHERINE ANGEL FULLER (NPI 1407068281) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801089969) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1407068281
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHERINE ANGEL FULLER
Location Address1785 W STADIUM BLVD STE 201CAnn Arbor, MI 48103-5291
Mailing Address1403 Iroquois PlAnn Arbor, MI 48104-4637 · (734) 255-3342
Phone(734) 255-3342
Fax(844) 364-8448
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1407068281 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 · 6801089969
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.
1785 W STADIUM BLVD STE 201C, Ann Arbor, MI 48103
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Secondary Practice Location 1

Location 12890 Carpenter Rd, Suite 1600Ann Arbor, MI 48108-1100 · Phone (734) 677-0609

Other Identifiers 1

OtherP14910005MI · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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. Katherine Angel Fuller 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 48103 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Katherine Fuller's NPI number?

The NPI number for Katherine Fuller is 1407068281. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Katherine Fuller located?

Katherine Fuller practices at 1785 W Stadium Blvd Ste 201C, Ann Arbor, MI 48103. The listed phone number is (734) 255-3342.

What is Katherine Fuller's specialty?

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

Is Katherine Fuller enrolled in Medicare?

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

What insurance does Katherine Fuller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Katherine 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 Katherine Fuller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.