Individual provider · Type 1 NPI

Sharon Koenig Fuller, LCSW

Clinical Social Worker · San Clemente, CA

NPI number 1962088906 Active

Practice location

64 Paseo Rosa
San Clemente, CA 92673-6506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW96024 (CA)

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 1962088906

Sharon Koenig Fuller, LCSW's National Provider Identifier is 1962088906, issued on Mar 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Clemente, CA. The record was last updated on Mar 21, 2021.