Individual provider · Type 1 NPI

Simone Chale Fuller

Clinical Social Worker · Minneapolis, MN

NPI number 1891339271 Active

Practice location

2220 Plymouth Ave N
Minneapolis, MN 55411-3600

Call (612) 532-1460 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24303 (MN)

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 1891339271

Simone Chale Fuller's National Provider Identifier is 1891339271, issued on Oct 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 14, 2026.