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
- 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.
Location Map
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 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 |
|---|---|---|---|
| E400170036 | MEDICARE PIN (08) | ME | |
| 002386001 | MEDICARE PIN (08) | ME |
Reviews for PETER J. FULLER LCSW, LADC
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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. | |||||||||
| 1 | 6 | 5 | 9 | 6 | 5 | 2 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 12 | 5 | 4 | 0 | 4 | |
| 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 = 2 | 2 | ||||||||
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
HALYA ZADORETZKY LCPC
Counselor
(Professional)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
ADAM J BOISVERT LCSW
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
PATRICK V SMITH LMSW/CC
Social Worker
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
REBECCA J TOLMAN LMSWCC
Counselor
(Mental Health)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
CAROL LOMBARD LSW
Counselor
(Mental Health)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
DAVID P APPELL
Counselor
(Mental Health)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
LYNNE SIGNORE RN
Registered Nurse
(Psychiatric/Mental Health, Child & Adolescent)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
LINDSEY LOKKEN
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
LAURIE KEENE LMSW-CC
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
KELLEY BERNARD
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
GARY D. MCNEILL CNS
Clinical Nurse Specialist
(Psychiatric/Mental Health)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
DONNA L. WATERMAN LCSW
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
LILLIAN MARY LAROSE LCSW
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
DOROTHY MELE LCPC
Counselor
(Professional)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
NANCY JEAN VERRILL LCSW
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
TAMARA E. KIERNAN LADC
Counselor
(Addiction (Substance Use Disorder))
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
LORRAINE KIMBALL SWENSON LCPC
Counselor
(Professional)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
ANDREA W.B. MILLS LMSW-CC
Social Worker
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
ROBERTA P. WENTWORTH LCSW
Social Worker
(Clinical)
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
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.
