MICHAEL JAY FULLER M.ED, MSW
NPI 1689551939
Social Worker in Nampa, ID

Active since August 19, 2025
4332 E THOMAS MILL DR, NAMPA, ID 83686(208) 989-7548 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Jay Fuller M.ed, Msw NPPES

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

MICHAEL JAY FULLER M.ED, MSW (NPI 1689551939) is an individual social worker in Nampa, Idaho, licensed in Utah (13800975-3502) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1689551939
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMICHAEL JAY FULLERCredential: M.ED, MSW
Location Address4332 E THOMAS MILL DRNampa, ID 83686-3020
Mailing Address4332 E Thomas Mill DrNampa, ID 83686-3020 · (208) 989-7548
Sole ProprietorYes
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1689551939 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 UT · 13800975-3502
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.
4332 E THOMAS MILL DR, Nampa, ID 83686

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 Michael Fuller's NPI number?

The NPI number for Michael Fuller is 1689551939. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Michael Fuller located?

Michael Fuller practices at 4332 E Thomas Mill Dr, Nampa, ID 83686. The listed phone number is (208) 989-7548.

What is Michael 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 Michael Fuller was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.