Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. ALEXIS FULLER LCSW
NPI 1679269153
Social Worker in Chicago, IL

Active since April 17, 2023
1130 S CANAL ST, CHICAGO, IL 60607(520) 487-1975 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Alexis Fuller Lcsw NPPES

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

MS. ALEXIS FULLER LCSW (NPI 1679269153) is an individual social worker in Chicago, Illinois, licensed in Illinois (149031797) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1679269153
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. ALEXIS FULLERCredential: LCSW
Location Address1130 S CANAL STChicago, IL 60607-5058
Mailing Address4115 W Aerie DrTucson, AZ 85741-2408 · (702) 752-6837
Sole ProprietorYes
Enumeration DateApril 17, 2023
Last NPPES UpdateJuly 11, 2026
NPPES CertifiedJuly 11, 2026
NPI 1679269153 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 IL · 149031797
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.
1130 S CANAL ST, Chicago, IL 60607

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1130 S CANAL ST
CHICAGO, IL 60607
Psychiatry & Neurology (Psychiatry)
1130 S CANAL ST
CHICAGO, IL 60607

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 Alexis Fuller's NPI number?

The NPI number for Alexis Fuller is 1679269153. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Alexis Fuller located?

Alexis Fuller practices at 1130 S Canal St, Chicago, IL 60607. The listed phone number is (520) 487-1975.

What is Alexis Fuller'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 Alexis Fuller was last updated on July 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.