SIMONE CHALE FULLER
NPI 1891339271
Social Worker - Clinical in Minneapolis, MN

Active since October 29, 2019
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415(612) 348-3322 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Simone Chale Fuller NPPES

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

SIMONE CHALE FULLER (NPI 1891339271) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (24303) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1891339271
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSIMONE CHALE FULLER
Location Address525 PORTLAND AVE # MC963Minneapolis, MN 55415-1533
Mailing Address525 Portland Ave # Mc963Minneapolis, MN 55415-1533 · (612) 348-3322
Sole ProprietorNo
Enumeration DateOctober 29, 2019
Last NPPES UpdateOctober 31, 2019
NPI 1891339271 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 MN · 24303
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.
525 PORTLAND AVE # MC963, Minneapolis, MN 55415

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.

Counselor (Mental Health)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Marriage & Family Therapist
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Counselor (Professional)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Nurse Practitioner (Psychiatric/Mental Health)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415

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 Simone Fuller's NPI number?

The NPI number for Simone Fuller is 1891339271. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Simone Fuller located?

Simone Fuller practices at 525 Portland Ave # Mc963, Minneapolis, MN 55415. The listed phone number is (612) 348-3322.

What is Simone 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 Simone Fuller was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.