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ELLEN DAWN COLEGROVE-FULLERTON
NPI 1649054636
Social Worker in Mckinleyville, CA

Active since August 22, 2023
1560 BETTY CT, MCKINLEYVILLE, CA 95519(707) 839-1933(707) 839-1726 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Dec 7, 2023, Oct 5, 2023 and 1 more (4 updates tracked since 2023).

About Ellen Dawn Colegrove-fullerton NPPES

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

ELLEN DAWN COLEGROVE-FULLERTON (NPI 1649054636) is an individual social worker in Mckinleyville, California, licensed in California (117221) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1649054636
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameELLEN DAWN COLEGROVE-FULLERTON
Location Address1560 BETTY CTMckinleyville, CA 95519-4405
Mailing Address1560 Betty CtMckinleyville, CA 95519-4405 · (707) 839-1933
Phone(707) 839-1933
Fax(707) 839-1726
Sole ProprietorNo
Enumeration DateAugust 22, 2023
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1649054636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 117221
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.
1560 BETTY CT, Mckinleyville, CA 95519
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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.

MARC RIGGINS JR.
Counselor
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
RUDY GARCIA
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
SHANLEY L MASTEN
Counselor
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
CALEB RANDAL MARTINEZ SEPULVEDA
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 382-2389
MS. TONI JANE LOERA R.S.
Social Worker
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
MICHAELA WALSTON
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 672-6627
AMANDA R YOUNG
Student in an Organized Health Care Education/Training Program
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 298-1556
KEOKI BURBANK
Case Manager/Care Coordinator
1560 BETTY CT
MCKINLEYVILLE, CA 95519
Humboldt County (707) 497-9861

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 Ellen Colegrove-fullerton's NPI number?

The NPI number for Ellen Colegrove-fullerton is 1649054636. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Ellen Colegrove-fullerton located?

Ellen Colegrove-fullerton practices at 1560 Betty Ct, Mckinleyville, CA 95519. The listed phone number is (707) 839-1933.

What is Ellen Colegrove-fullerton's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellen Colegrove-fullerton was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.