MARA MICHELLE FULLER LCSW
NPI 1831679497
Social Worker - Clinical in Galax, VA

Active since August 14, 2018
6999 CARROLLTON PIKE STE 1, GALAX, VA 24333(276) 238-5600 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mara Michelle Fuller Lcsw NPPES

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

MARA MICHELLE FULLER LCSW (NPI 1831679497) is an individual clinical provider in Galax, Virginia, licensed in Virginia (0904010623) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1831679497
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARA MICHELLE FULLERCredential: LCSW
Location Address6999 CARROLLTON PIKE STE 1Galax, VA 24333-6341
Mailing Address770 W Ridge RdWytheville, VA 24382-1187 · (276) 223-3222 · Fax (276) 223-0617
Sole ProprietorNo
Enumeration DateAugust 14, 2018
NPI 1831679497 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 VA · 0904010623
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.
6999 CARROLLTON PIKE STE 1, Galax, VA 24333

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6999 CARROLLTON PIKE STE 1
GALAX, VA 24333
Counselor (Professional)
6999 CARROLLTON PIKE STE 1
GALAX, VA 24333
Counselor (Professional)
6999 CARROLLTON PIKE STE 1
GALAX, VA 24333
Counselor (Professional)
6999 CARROLLTON PIKE STE 1
GALAX, VA 24333
Nurse Practitioner
6999 CARROLLTON PIKE STE 1
GALAX, VA 24333

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 Mara Fuller's NPI number?

The NPI number for Mara Fuller is 1831679497. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Mara Fuller located?

Mara Fuller practices at 6999 Carrollton Pike Ste 1, Galax, VA 24333. The listed phone number is (276) 238-5600.

What is Mara 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 Mara Fuller was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.