Individual provider · Type 1 NPI

Javanese Fuller, MSW, QMHP-A

Clinical Social Worker · Virginia Beach, VA

NPI number 1558027185 Active

Practice location

5267 Greenwich Rd Ste 101E
Virginia Beach, VA 23462-6028

Call (757) 748-3751 Map

Mailing address

4776 Mandan Rd
Virginia Beach, VA 23462-3843

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 1558027185

Javanese Fuller, MSW, QMHP-A's National Provider Identifier is 1558027185, issued on Nov 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 9, 2021.