MR. CARL WAYNE FULLER JR. LCSW
NPI 1811389943
Social Worker - Clinical in Sacramento, CA
About Mr. Carl Wayne Fuller Jr. Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CARL WAYNE FULLER JR. LCSW (NPI 1811389943) is an individual clinical provider in Sacramento, California, licensed in California (LCSW97972) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Carl Wayne Fuller Jr. Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Carl Fuller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Placentia, CA 92870
- Reassigned Medicare billing, California enrollment
- 150 clinicians in this Medicare group
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
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 95814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95814
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 Carl Fuller's NPI number?
The NPI number for Carl Fuller is 1811389943. It was assigned to this individual provider in the NPPES registry on February 26, 2015.
Where is Carl Fuller located?
Carl Fuller practices at 1508 F St, Sacramento, CA 95814. The listed phone number is (916) 794-9070.
What is Carl Fuller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Carl Fuller enrolled in Medicare?
Yes. Carl Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carl Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Fuller reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Forward Wellness Family Therapy, Inc. (Placentia, CA) and Cyti Health PC (San Diego, CA). Each 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 Carl Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carl Fuller was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Carl Wayne Fuller Jr., LCSW · NPI 1811389943
Clinical provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since February 26, 2015.
## Identity
- **NPI:** 1811389943 (Entity type: Individual)
- **Enumerated:** February 26, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW97972 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1508 F ST, Sacramento, CA 95814-1609
- **Phone:** (916) 794-9070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Forward Wellness Family Therapy, Inc. (NPI 1093398059, Placentia, CA); Cyti Health PC (NPI 1679172290, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811389943) · Data from the CMS NPPES public registry.