Individual provider · Type 1 NPI
Katina Felisa Fuller, DSW, LCSW, CCM
Clinical Social Worker · Villa Rica, GA
Practice location
212 Bonnie Sue Dr
Villa Rica, GA 30180-5517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW007891 (GA) |
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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- Celina Monique McMillianClinical Social Worker Villa Rica, GA NPI 1598648677
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About NPI 1598546194
Katina Felisa Fuller, DSW, LCSW, CCM's National Provider Identifier is 1598546194, issued on Oct 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Villa Rica, GA. The record was last updated on Oct 10, 2023.