Individual provider · Type 1 NPI

Carrie Venus Fuller, LCSW

Clinical Social Worker · Newburgh, NY

NPI number 1376636563 Active

Practice location

21 Grand St
Newburgh, NY 12550-5628

Call (845) 562-7244 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR050688-1 (NY)

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 1376636563

Carrie Venus Fuller, LCSW's National Provider Identifier is 1376636563, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newburgh, NY. The record was last updated on Jul 9, 2007.