Individual provider · Type 1 NPI

Callie Brooke Fuller, MSW, CSW

Clinical Social Worker · Bowling Green, KY

NPI number 1669061453 Active

Practice location

901 Lehman Ave Ste 7
Bowling Green, KY 42101-4903

Call (270) 904-6307 Map

Fax (270) 904-6314

Mailing address

10100 Elida Rd
Delphos, OH 45833-9058

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X255683 (KY)
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X255987 (KY)

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 1669061453

Callie Brooke Fuller, MSW, CSW's National Provider Identifier is 1669061453, issued on Jan 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, KY. The record was last updated on Aug 31, 2021.