TIFFANY I FULLER SUDRC
NPI 1831743970
Social Worker in San Jose, CA

Q: What is Tiffany Fuller's NPI number?

The NPI number for Tiffany Fuller is 1831743970. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Q: What is Tiffany Fuller's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Fuller was last updated on July 29, 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.

Active since July 26, 2019

101 JOSE FIGUERES AVE STE 50, SAN JOSE, CA 95116(408) 207-0560(408) 642-6052 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jul 29, 2019, Jul 26, 2019 (3 updates tracked since 2019).

On this page

About Tiffany I Fuller Sudrc NPPES

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

TIFFANY I FULLER SUDRC (NPI 1831743970) is an individual social worker in San Jose, California, licensed in California (108495) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1831743970

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTIFFANY I FULLERCredential: SUDRC

Location Address101 JOSE FIGUERES AVE STE 50San Jose, CA 95116-2068

Mailing Address1922 The Alameda Ste 316San Jose, CA 95126-1461 · (408) 261-7777 · Fax (408) 642-6052

Phone(408) 207-0560

Fax(408) 642-6052

Sole ProprietorNo

Enumeration DateJuly 26, 2019

Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1831743970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 108495

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

101 JOSE FIGUERES AVE STE 50, San Jose, CA 95116

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DEBRA LEE WILSON RN

Registered Nurse