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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: October 18, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group Of New Jersey PC
9.9 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jerry Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Fuller reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Fuller accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jerry Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.