Individual provider · Type 1 NPI
Alexis Fuller, LCSW
Clinical Social Worker · Chicago, IL
Practice location
1130 S Canal St
Chicago, IL 60607-5058
Mailing address
4115 W Aerie Dr
Tucson, AZ 85741-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149031797 (IL) |
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…
3 other providers at this address
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About NPI 1679269153
Alexis Fuller, LCSW's National Provider Identifier is 1679269153, issued on Apr 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 8, 2026.