Jessica Fuller Licsw LLC
Social Worker, Clinical in South Hamilton, Massachusetts
1104757913- Practice location
- 205B Willow St Ste B3a, South Hamilton, MA 01982-2228
- Phone
- 413-238-1571
- Fax
- —
- Last updated
- May 28, 2026
Jessica Fuller Licsw LLC is a healthcare organization based in South Hamilton, MA. Jessica Fuller Licsw LLC practices in South Hamilton, MA. The NPI Number for Jessica Fuller Licsw LLC is 1104757913. The current practice location address for Jessica Fuller Licsw LLC is 205B Willow St Ste B3a, South Hamilton, MA 01982-2228 and can be reached out via phone at 413-238-1571.
Provider Profile Details
- NPI Number
- 1104757913
- Provider Name
- Jessica Fuller Licsw LLC
- Provider Entity Type
- Organization
- Address
- 205B Willow St Ste B3a, South Hamilton, MA 01982-2228
- Phone Number
- 413-238-1571
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Jessica Fuller, LICSW · Owner/Theraoust · 413-238-1571
- Provider Enumeration Date
- May 28, 2026
- Last Update Date
- May 28, 2026
- Certification Date
- May 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205B Willow St Ste B3a
South Hamilton, MA 01982-2228 - City
- South Hamilton
- State
- Massachusetts
- Zip
- 01982-2228
- Phone Number
- 413-238-1571
Provider Business Mailing Address Details
- Address
- 205B Willow St Ste B3a
South Hamilton, MA 01982-2228 - City
- South Hamilton
- State
- MA
- Zip
- 01982-2228
- Phone Number
- 413-238-1571
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near South Hamilton, MA
View all Social Worker, Clinical providers in South Hamilton →- Alison E Trimby, LICSWSocial Worker, Clinical · NPI 1104126226
- Caroline S Harris, MSWSocial Worker, Clinical · NPI 1275273963
- Centered Perspectives Therapy PLLCSocial Worker, Clinical · NPI 1154026094
- Eric Eid-Reiner, MSW, LICSWSocial Worker, Clinical · NPI 1265802003
- Jessica FullerSocial Worker, Clinical · NPI 1942659297
- Jessica RedisSocial Worker, Clinical · NPI 1770778003
Frequently Asked Questions
What is the NPI number of Jessica Fuller Licsw LLC?
The NPI number of Jessica Fuller Licsw LLC is 1104757913. It was assigned on May 28, 2026 and is currently active in the NPPES registry.
What is the specialty of Jessica Fuller Licsw LLC?
Jessica Fuller Licsw LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Jessica Fuller Licsw LLC practice?
The practice location is 205B Willow St Ste B3a, South Hamilton, MA 01982-2228. The office can be reached at 413-238-1571 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104757913 directly on the NPPES registry website.