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JENNIFER ANN FULLER
NPI 1700682341
Social Worker in South Lake Tahoe, CA

Active since February 24, 2025
3079 HARRISON AVE STE D, SOUTH LAKE TAHOE, CA 96150(530) 721-2664 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Ann Fuller NPPES

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

JENNIFER ANN FULLER (NPI 1700682341) is an individual social worker in South Lake Tahoe, California, licensed in California (129874) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1700682341
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER ANN FULLER
Location Address3079 HARRISON AVE STE DSouth Lake Tahoe, CA 96150-7976
Mailing Address3079 Harrison Ave Ste DSouth Lake Tahoe, CA 96150-7976 · (916) 783-5208
Phone(530) 721-2664
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1700682341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 129874
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3079 HARRISON AVE STE D, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 12

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

COURTNEY WOOD
Rehabilitation Practitioner
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (864) 325-4741
JORDAN BRIEDE
Counselor
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
MARC ESTABROOK
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
KATRINA GABRIELLE JOY RN
Rehabilitation Practitioner
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 725-9969
ROBERT CHRISTIAN REYNOLDS
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
WENDY MARY LIEBLER
Counselor (Mental Health)
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (916) 783-5207
ALEXIS MARIE WILSON B.S.
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 581-4054
NICHOLAS ANGLETON
Case Manager/Care Coordinator
3079 HARRISON AVE STE D
SOUTH LAKE TAHOE, CA 96150
El Dorado County (214) 794-1568

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 Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1700682341. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Jennifer Fuller located?

Jennifer Fuller practices at 3079 Harrison Ave Ste D, South Lake Tahoe, CA 96150. The listed phone number is (530) 721-2664.

What is Jennifer 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 Jennifer Fuller was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.