Individual provider · Type 1 NPI

Judith Cunningham Fuller, M.S.W., L.C.S.W.

Clinical Social Worker · Creve Coeur, MO

NPI number 1346447562 Active

Practice location

10845 Olive Blvd, Suite 100
Creve Coeur, MO 63141-7760

Fax (314) 872-3965

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001679 (MO)

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 1346447562

Judith Cunningham Fuller, M.S.W., L.C.S.W.'s National Provider Identifier is 1346447562, issued on Jun 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Creve Coeur, MO. The record was last updated on Jul 8, 2007.