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TESSA FULTZ LICSW
NPI 1568968204
Social Worker in Farmington, MN

Active since April 02, 2018PECOS Enrolled
408 3RD ST STE 107, FARMINGTON, MN 55024(651) 252-4025(651) 390-6136 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tessa Fultz Licsw NPPES

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

TESSA FULTZ LICSW (NPI 1568968204) is an individual social worker in Farmington, Minnesota, licensed in Minnesota (26216) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1568968204
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTESSA FULTZCredential: LICSW
Location Address408 3RD ST STE 107Farmington, MN 55024-1355
Mailing Address408 3rd St Ste 107Farmington, MN 55024-1355 · (507) 649-2507 · Fax (651) 661-4168
Phone(651) 252-4025
Fax(651) 390-6136
Sole ProprietorYes
Enumeration DateApril 2, 2018
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1568968204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 26216
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
408 3RD ST STE 107, Farmington, MN 55024
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Secondary Practice Location 1

Location 11919 Broadway St NEMinneapolis, MN 55413-1251 · Phone (651) 252-4025

Other Identifiers 1

Other1780389189MN · Npi 2

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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)

Tessa Fultz Licsw 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.

Other Providers at the Same Location NPPES

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

LAKEVIEW WELLNESS LLC
Social Worker
408 3RD ST STE 107
FARMINGTON, MN 55024
Dakota County (176) 376-0213

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 Tessa Fultz's NPI number?

The NPI number for Tessa Fultz is 1568968204. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Tessa Fultz located?

Tessa Fultz practices at 408 3rd St Ste 107, Farmington, MN 55024. The listed phone number is (651) 252-4025.

What is Tessa Fultz's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tessa Fultz enrolled in Medicare?

Yes. Tessa Fultz is registered in the Medicare PECOS enrollment system.

What insurance does Tessa Fultz accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Providence Health Plan list Tessa Fultz 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 Tessa Fultz was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.