Individual provider · Type 1 NPI

Monica Anne Fullerton, LISW

Clinical Social Worker · Las Cruces, NM

NPI number 1205046398 Active

Practice location

1990 E Lohman Ave Ste 225
Las Cruces, NM 88001-3172

Mailing address

414 Keathley Dr
Las Cruces, NM 88005-1614

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-06460 (NM)

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 1205046398

Monica Anne Fullerton, LISW's National Provider Identifier is 1205046398, issued on May 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 23, 2026.