Individual provider · Type 1 NPI

Davida Dawana Fuller, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1023858172 Active

Practice location

2000 N Racine Ave Ste 3300
Chicago, IL 60614-7008

Call (773) 413-9523 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149027199 (IL)

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 1023858172

Davida Dawana Fuller, LCSW's National Provider Identifier is 1023858172, issued on May 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 28, 2024.