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MS. THERESA K FULLHART MSW
NPI 1780634196
Social Worker - Clinical in Decorah, IA

Active since May 10, 2006
905 MONTGOMERY STREET, DECORAH, IA 52101(563) 382-3649(563) 382-8183 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Theresa K Fullhart Msw NPPES

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

MS. THERESA K FULLHART MSW (NPI 1780634196) is an individual clinical provider in Decorah, Iowa, licensed in Iowa (05866) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780634196
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERESA K FULLHARTCredential: MSW
Location Address905 MONTGOMERY STREETDecorah, IA 52101
Mailing Address905 Montgomery StDecorah, IA 52101-2325 · (563) 382-3649 · Fax (563) 382-8183
Phone(563) 382-3649
Fax(563) 382-8183
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 18, 2010
✔ NPI 1780634196 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 IA · 05866
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.
905 MONTGOMERY STREET, Decorah, IA 52101
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Other Identifiers 1

Medicare PIN074550001IA

Other Providers at the Same Location NPPES

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

CARLA K ABEL-ZIEG ARNP
Nurse Practitioner (Psychiatric/Mental Health)
905 MONTGOMERY STREET
DECORAH, IA 52101
Winneshiek County (563) 382-3649

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 Theresa Fullhart's NPI number?

The NPI number for Theresa Fullhart is 1780634196. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Theresa Fullhart located?

Theresa Fullhart practices at 905 Montgomery Street, Decorah, IA 52101. The listed phone number is (563) 382-3649.

What is Theresa Fullhart's specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa Fullhart was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.