Individual provider · Type 1 NPI

Renee Michelle Fuller, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1497024517 Active

Practice location

2750 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Call (616) 267-7015 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801093467 (MI)

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 1497024517

Renee Michelle Fuller, LMSW's National Provider Identifier is 1497024517, issued on Dec 19, 2011. 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 Mar 15, 2021.