Individual provider · Type 1 NPI
Samuel Fuller
Clinical Social Worker · Salt Lake City, UT
Practice location
3440 S 500 E Apt 88
Salt Lake City, UT 84106-1280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 12920621-3501 (UT) |
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 1982157194
Samuel Fuller's National Provider Identifier is 1982157194, issued on Jul 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 30, 2025.