Individual provider · Type 1 NPI

Fatimaah D. Fullilove, LSW, LICDC

Clinical Social Worker · Mentor, OH

NPI number 1003329228 Active

Practice location

7232 Justin Way
Mentor, OH 44060-4881

Call (440) 578-8200 Map

Other practice locations

  • 1400 E 55th St, Cleveland, OH 44103-1304 · (216) 391-6672

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X162016 (OH)
Social Worker 104100000X2106096 (OH)
Clinical Social Worker Primary 1041C0700XS.2106096 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1003329228

Fatimaah D. Fullilove, LSW, LICDC's National Provider Identifier is 1003329228, issued on Nov 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mentor, OH. The record was last updated on Feb 25, 2025.