Individual provider · Type 1 NPI

Shelby Fullington

Clinical Social Worker · Grand Rapids, MI

NPI number 1346637337 Active

Practice location

1011 Ball Ave NE
Grand Rapids, MI 49505

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1346637337

Shelby Fullington's National Provider Identifier is 1346637337, issued on Apr 17, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 17, 2015.