Individual provider · Type 1 NPI

Theresa K. Fullhart, MSW

Clinical Social Worker · Decorah, IA

NPI number 1780634196 Active

Practice location

905 Montgomery Street
Decorah, IA 52101

Call (563) 382-3649 Map

Fax (563) 382-8183

Mailing address

905 Montgomery St
Decorah, IA 52101-2325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X05866 (IA)

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 1780634196

Theresa K. Fullhart, MSW's National Provider Identifier is 1780634196, issued on May 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decorah, IA. The record was last updated on Aug 18, 2010.