PETER J. FULLER LCSW, LADC
NPI 1659652022
Social Worker - Clinical in Springvale, ME

NPI Status: Active since August 30, 2011

Contact Information

474 MAIN ST
SPRINGVALE, ME
ZIP 04083
Phone: (207) 324-1500
Fax: (207) 490-5263

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  • Individual
  • Male
  • Social Worker
  • Clinical

About PETER FULLER

This page provides the complete NPI Profile along with additional information for Peter Fuller, a provider established in Springvale, Maine with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1659652022 assigned on August 2011. The practitioner's primary taxonomy code is 1041C0700X with license number LC4929 (ME). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1659652022
Provider Name
PETER J. FULLER LCSW, LADC
Gender
Male
Entity Type
Individual
Location Address
474 MAIN ST SPRINGVALE, ME 04083
Location Phone
(207) 324-1500
Location Fax
(207) 490-5263
Mailing Address
78 ATLANTIC PLACE SOUTH PORTLAND, ME 04106
Mailing Phone
(207) 661-6654
Mailing Fax
(207) 490-5263
Is Sole Proprietor?
No
Enumeration Date
08-30-2011
Last Update Date
06-22-2016
Code Navigator

A clinical social worker like Peter Fuller is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LC4929
License State
ME
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

LC4294 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E400170036MEDICARE PIN (08)ME 
002386001MEDICARE PIN (08)ME 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659652022
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109125404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 2 + 5 + 4 + 0 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1659652022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

JILL BROWN LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

HALYA ZADORETZKY LCPC

Counselor

(Professional)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

ADAM J BOISVERT LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

PATRICK V SMITH LMSW/CC

Social Worker

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

REBECCA J TOLMAN LMSWCC

Counselor

(Mental Health)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

CAROL LOMBARD LSW

Counselor

(Mental Health)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

DAVID P APPELL

Counselor

(Mental Health)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 490-8301

LYNNE SIGNORE RN

Registered Nurse

(Psychiatric/Mental Health, Child & Adolescent)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

LINDSEY LOKKEN

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

LAURIE KEENE LMSW-CC

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

KELLEY BERNARD

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

GARY D. MCNEILL CNS

Clinical Nurse Specialist

(Psychiatric/Mental Health)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

DONNA L. WATERMAN LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

LILLIAN MARY LAROSE LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

DOROTHY MELE LCPC

Counselor

(Professional)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

NANCY JEAN VERRILL LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

TAMARA E. KIERNAN LADC

Counselor

(Addiction (Substance Use Disorder))

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

LORRAINE KIMBALL SWENSON LCPC

Counselor

(Professional)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

ANDREA W.B. MILLS LMSW-CC

Social Worker

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

ROBERTA P. WENTWORTH LCSW

Social Worker

(Clinical)

474 MAIN ST
SPRINGVALE, ME
ZIP 04083

(207) 324-1500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659652022, enumerated as an "individual" on August 30, 2011.

The provider is located at 474 MAIN ST SPRINGVALE, ME 04083 and the phone number is (207) 324-1500.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.