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MS. ALEXIS FULLER LCSW
NPI 1679269153
Social Worker 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: July 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 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. She is enrolled in Medicare PECOS.

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
Phone(520) 487-1975
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
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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).

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 with taxonomy code 104100000X.

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 July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.