MARK P FULLER LCSW, SAC, ICS,
NPI 1780859744
Social Worker - Clinical in Keshena, WI
About Mark P Fuller Lcsw, Sac, Ics, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK P FULLER LCSW, SAC, ICS, (NPI 1780859744) is an individual clinical provider in Keshena, Wisconsin, licensed in Wisconsin (3082-123) and active in the NPI registry since April 2008.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KESHENA, WI 54135
KESHENA, WI 54135
KESHENA, WI 54135
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 Mark Fuller's NPI number?
The NPI number for Mark Fuller is 1780859744. It was assigned to this individual provider in the NPPES registry on April 29, 2008.
Where is Mark Fuller located?
Mark Fuller practices at W3275 Wolf River Road, Keshena, WI 54135. The listed phone number is (715) 799-5451.
What is Mark Fuller'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 Mark Fuller was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.