Individual provider · Type 1 NPI

Jennifer Fullwood

Clinical Social Worker · Orlando, FL

NPI number 1184290876 Active

Practice location

5115 Anzio St
Orlando, FL 32819-8407

Call (321) 290-0898 Map

Mailing address

2531 Settlers Trl
St. Cloud, FL 34772-8514

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None 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 1184290876

Jennifer Fullwood's National Provider Identifier is 1184290876, issued on Jun 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orlando, FL. The record was last updated on Jun 2, 2021.