Individual provider · Type 1 NPI
Sierra Ruth Fuller
Clinical Social Worker · Medford, MA
Practice location
345 Salem St
Medford, MA 02155-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 122888 (MA) |
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 1508316829
Sierra Ruth Fuller's National Provider Identifier is 1508316829, issued on Oct 11, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, MA. The record was last updated on Aug 6, 2026.