Organization · Type 2 NPI

Jessica Fuller Licsw LLC

Clinical Social Worker · South Hamilton, MA

NPI number 1104757913 Active

Practice location

205B Willow St Ste B3A
South Hamilton, MA 01982-2228

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1104757913

Jessica Fuller Licsw LLC's National Provider Identifier is 1104757913, issued on May 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Hamilton, MA. The record was last updated on May 28, 2026.