- Practice location
- 844 Stevens Ave, Portland, ME 04103-2676
- Phone
- 207-505-0227
- Fax
- —
- Last updated
- December 16, 2025
Timothy Fuller is a Social Worker, Clinical based in Portland, ME. Timothy Fuller practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Timothy Fuller is 1114567807 and holds a License No. LC21772 (ME). The current practice location address for Timothy Fuller is 844 Stevens Ave, Portland, ME 04103-2676 and can be reached out via phone at 207-505-0227.
Provider Profile Details
- NPI Number
- 1114567807
- Provider Name
- Timothy Fuller
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 844 Stevens Ave, Portland, ME 04103-2676
- Phone Number
- 207-505-0227
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 9, 2020
- Last Update Date
- December 16, 2025
- Certification Date
- December 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 844 Stevens Ave
Portland, ME 04103-2676 - City
- Portland
- State
- Maine
- Zip
- 04103-2676
- Phone Number
- 207-505-0227
Provider Business Mailing Address Details
- Address
- 844 Stevens Ave
Portland, ME 04103-2676 - City
- Portland
- State
- ME
- Zip
- 04103-2676
- Phone Number
- 207-505-0227
License Information
- License Number
- LC21772
- License State
- ME
- 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 Portland, ME
View all Social Worker, Clinical providers in Portland →- Abigail Harris, LMSW-CCSocial Worker, Clinical · NPI 1992636104
- Abigail L Lee, LCSWSocial Worker, Clinical · NPI 1871951251
- Alana R Katz, LMSW-CCSocial Worker, Clinical · NPI 1295303881
- Albert G Haynes, LCSWSocial Worker, Clinical · NPI 1710120266
- Albert M Durgin, LCSWSocial Worker, Clinical · NPI 1013221126
- Alex Bellows, LCSWSocial Worker, Clinical · NPI 1982285037
Frequently Asked Questions
What is the NPI number of Timothy Fuller, LCSW?
The NPI number of Timothy Fuller, LCSW is 1114567807. It was assigned on January 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Timothy Fuller, LCSW?
Timothy Fuller, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC21772.
Where does Timothy Fuller, LCSW practice?
The practice location is 844 Stevens Ave, Portland, ME 04103-2676. The office can be reached at 207-505-0227 (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 1114567807 directly on the NPPES registry website.