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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 8, 2026, Jul 11, 2026 (2 updates tracked since 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 clinical provider in Chicago, Illinois, licensed in Illinois (149031797) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679269153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
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
Phone(520) 487-1975
Sole ProprietorYes
Enumeration DateApril 17, 2023
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1679269153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149031797
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.
1130 S CANAL ST, Chicago, IL 60607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alexis Fuller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

PRYOR THERAPY SOLUTIONS
Social Worker (Clinical)
1130 S CANAL ST
CHICAGO, IL 60607
Cook County (217) 816-6341
ANUSHA VEERALA
Early Intervention Provider Agency
1130 S CANAL ST
CHICAGO, IL 60607
Cook County (708) 835-7971
WELLNITE MEDICAL GROUP PA
Psychiatry & Neurology (Psychiatry)
1130 S CANAL ST
CHICAGO, IL 60607
Cook County (341) 888-7637

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, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alexis Fuller enrolled in Medicare?

Yes. Alexis Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Fuller was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.