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LISA FULLER LCSW
NPI 1790546323
Social Worker - Clinical in Albuquerque, NM

Active since January 22, 2024PECOS Enrolled
18 TIERRA MONTE ST NE, ALBUQUERQUE, NM 87122(505) 249-1669 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Fuller Lcsw NPPES

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

LISA FULLER LCSW (NPI 1790546323) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (SWB-2024-0077) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790546323
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA FULLERCredential: LCSW
Location Address18 TIERRA MONTE ST NEAlbuquerque, NM 87122-2102
Mailing Address18 Tierra Monte St NeAlbuquerque, NM 87122-2102 · (505) 249-1669
Phone(505) 249-1669
Sole ProprietorYes
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 20, 2024
✔ NPI 1790546323 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 NM · SWB-2024-0077
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.
18 TIERRA MONTE ST NE, Albuquerque, NM 87122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Fuller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Fuller's NPI number?

The NPI number for Lisa Fuller is 1790546323. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Lisa Fuller located?

Lisa Fuller practices at 18 Tierra Monte St NE, Albuquerque, NM 87122. The listed phone number is (505) 249-1669.

What is Lisa Fuller's specialty?

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

Is Lisa Fuller enrolled in Medicare?

Yes. Lisa Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Fuller was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.