Individual provider · Type 1 NPI
Timothy Fuller, LCSW
Clinical Social Worker · Portland, ME
Practice location
844 Stevens Ave
Portland, ME 04103-2676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC21772 (ME) |
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…
3 other providers at this address
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- Rebecca L. Drouin, LCSWClinical Social Worker Portland, ME NPI 1003914029
- Alicia M. Willis, CACClinical Social Worker Portland, ME NPI 1003986340
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About NPI 1114567807
Timothy Fuller, LCSW's National Provider Identifier is 1114567807, issued on Jan 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Dec 16, 2025.