Individual provider · Type 1 NPI
Sophia Danielle Fuller
Clinical Social Worker · Concord, NC
Practice location
7160 Weddington Rd NW Ste 144
Concord, NC 28027-3676
Mailing address
6305 Salamander Run Ln
Charlotte, NC 28215-5084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P022442 (NC) |
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 1447124151
Sophia Danielle Fuller's National Provider Identifier is 1447124151, issued on Oct 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Oct 3, 2025.