Individual provider · Type 1 NPI

Angel Marie Fuller, LCSW-A

Clinical Social Worker · Fayetteville, NC

NPI number 1083534739 Active

Practice location

1766 Metromedical Dr
Fayetteville, NC 28304-3861

Call (919) 300-6717 Map

Mailing address

125 Edinburgh South Dr Ste 210
Cary, NC 27511-6484

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP024161 (NC)

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 1083534739

Angel Marie Fuller, LCSW-A's National Provider Identifier is 1083534739, issued on Jul 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 21, 2026.