Individual provider · Type 1 NPI

Mara Michelle Fuller, LCSW

Clinical Social Worker · Galax, VA

NPI number 1831679497 Active

Practice location

6999 Carrollton Pike Ste 1
Galax, VA 24333-6341

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010623 (VA)

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 1831679497

Mara Michelle Fuller, LCSW's National Provider Identifier is 1831679497, issued on Aug 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Galax, VA. The record was last updated on Aug 14, 2018.