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KIT FULLER, LMSW, LLC
NPI 1700305687
Social Worker - Clinical in Ann Arbor, MI

Active since September 12, 2017
2890 CARPENTER RD STE 1500, ANN ARBOR, MI 48108(734) 255-3342(844) 364-8448 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 23, 2023, Jul 21, 2022, Sep 12, 2017 (3 updates tracked since 2017).

About Kit Fuller, Lmsw, Llc NPPES

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

KIT FULLER, LMSW, LLC (NPI 1700305687) is a healthcare organization registered as a clinical in Ann Arbor, Michigan and active in the NPI registry since September 2017. The organization lists Katherine Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1700305687
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIT FULLER, LMSW, LLC
Location Address2890 CARPENTER RD STE 1500Ann Arbor, MI 48108-1196
Mailing Address2890 Carpenter Rd Ste 1500Ann Arbor, MI 48108-1196 · (734) 255-3342 · Fax (844) 364-8448
Phone(734) 255-3342
Fax(844) 364-8448
Organization SubpartNo
Authorized OfficialKatherine FullerOwner · (734) 255-3342
Enumeration DateSeptember 12, 2017
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1700305687 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 MI · 6801089969
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.
2890 CARPENTER RD STE 1500, Ann Arbor, MI 48108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kit Fuller, Lmsw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kit Fuller, Lmsw, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katherine Fuller
Clinical Social Worker
NPI 1407068281
1785 W STADIUM BLVD STE 201C
Ann Arbor, MI 48103
(734) 255-3342
✔ PECOS4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kit Fuller, Lmsw, LLC's NPI number?

The NPI number for Kit Fuller, Lmsw, LLC is 1700305687. It was assigned to this organization in the NPPES registry on September 12, 2017.

Where is Kit Fuller, Lmsw, LLC located?

Kit Fuller, Lmsw, LLC is located at 2890 Carpenter Rd Ste 1500, Ann Arbor, MI 48108. The listed phone number is (734) 255-3342.

What is Kit Fuller, Lmsw, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kit Fuller, Lmsw, LLC enrolled in Medicare?

Yes. Kit Fuller, Lmsw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kit Fuller, Lmsw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kit Fuller, Lmsw, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kit Fuller, Lmsw, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kit Fuller, Lmsw, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kit Fuller, Lmsw, LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.