Individual provider · Type 1 NPI

Jennifer Fuller

Clinical Social Worker · Jackson, MI

NPI number 1053962647 Active

Practice location

2652 Spring Arbor Rd
Jackson, MI 49203-3604

Call (517) 960-9023 Map

Mailing address

531 N Pleasant St
Jackson, MI 49202-3623

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801101652 (MI)

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 1053962647

Jennifer Fuller's National Provider Identifier is 1053962647, issued on Sep 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Sep 25, 2019.