Individual provider · Type 1 NPI

Jesse Smith-Fulia, LCSW

Clinical Social Worker · Vienna, IL

NPI number 1144018847 Active

Practice location

300 Red Bud Ln
Vienna, IL 62995-1792

Call (618) 658-3079 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149029200 (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 1144018847

Jesse Smith-Fulia, LCSW's National Provider Identifier is 1144018847, issued on Apr 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vienna, IL. The record was last updated on Apr 30, 2025.