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MR. JERRY LEE FULLER JR. LCSW
NPI 1801953716
Social Worker - Clinical in Bloomfield, NJ

Active since January 02, 2007PECOS Enrolled
31 NORTH AVE, BLOOMFIELD, NJ 07003(973) 338-8530 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Lee Fuller Jr. Lcsw NPPES

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

MR. JERRY LEE FULLER JR. LCSW (NPI 1801953716) is an individual clinical provider in Bloomfield, New Jersey, licensed in New Jersey (44SC05222700) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801953716
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JERRY LEE FULLER JR.Credential: LCSW
Location Address31 NORTH AVEBloomfield, NJ 07003-5516
Mailing Address31 North AveBloomfield, NJ 07003-5516 · (973) 338-8530
Phone(973) 338-8530
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateFebruary 2, 2009
✔ NPI 1801953716 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 NJ · 44SC05222700
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.
31 NORTH AVE, Bloomfield, NJ 07003
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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)

Mr. Jerry Lee Fuller Jr. 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 07003 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 Jerry Fuller's NPI number?

The NPI number for Jerry Fuller is 1801953716. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Jerry Fuller located?

Jerry Fuller practices at 31 North Ave, Bloomfield, NJ 07003. The listed phone number is (973) 338-8530.

What is Jerry Fuller's specialty?

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

Is Jerry Fuller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Fuller was last updated on February 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.