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

Active since August 30, 2011
474 MAIN ST, SPRINGVALE, ME 04083(207) 324-1500(207) 490-5263 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter J. Fuller Lcsw, Ladc NPPES

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

PETER J. FULLER LCSW, LADC (NPI 1659652022) is an individual clinical provider in Springvale, Maine, licensed in Maine (LC4929) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1659652022
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePETER J. FULLERCredential: LCSW, LADC
Location Address474 MAIN STSpringvale, ME 04083-1409
Mailing Address78 Atlantic PlaceSouth Portland, ME 04106-2316 · (207) 661-6654 · Fax (207) 842-7773
Fax(207) 490-5263
Sole ProprietorNo
Enumeration DateAugust 30, 2011
Last NPPES UpdateJune 22, 2016
NPI 1659652022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC4929
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC4294 (ME)
474 MAIN ST, Springvale, ME 04083

Other Identifiers 2

Medicare PINE400170036ME
Medicare PIN002386001ME

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.

Social Worker (Clinical)
474 MAIN ST
SPRINGVALE, ME 04083
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
474 MAIN ST
SPRINGVALE, ME 04083
Counselor (Professional)
474 MAIN ST
SPRINGVALE, ME 04083
Social Worker (Clinical)
474 MAIN ST
SPRINGVALE, ME 04083
Social Worker (Clinical)
474 MAIN ST
SPRINGVALE, ME 04083
Social Worker
474 MAIN ST
SPRINGVALE, ME 04083
Counselor (Mental Health)
474 MAIN ST
SPRINGVALE, ME 04083
Social Worker (Clinical)
474 MAIN ST
SPRINGVALE, ME 04083

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 Peter Fuller's NPI number?

The NPI number for Peter Fuller is 1659652022. It was assigned to this individual provider in the NPPES registry on August 30, 2011.

Where is Peter Fuller located?

Peter Fuller practices at 474 Main St, Springvale, ME 04083. The listed phone number is (207) 324-1500.

What is Peter Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Fuller was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.