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Mark P Fuller, LCSW,SAC,ICS,
Clinical Social Worker in Keshena, Wisconsin
NPI 1780859744

Mark P Fuller is a Clinical Social Worker based in Keshena, WI and is specialized in Clinical. Mark P Fuller practices in Keshena, WI and has the professional credentials of LCSW,SAC,ICS,. The NPI Number for Mark P Fuller is 1780859744 and holds a License No. 3082-123 (Wisconsin).

The current practice location address for Mark P Fuller is W3275 Wolf River Road, Keshena, WI and can be reached out via phone at 715-799-5451.

Location: W3275 Wolf River Road, Keshena, WI, 54135-0970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780859744
Provider Name
Mark P Fuller
Credential
LCSW,SAC,ICS,
Provider Entity Type
Individual
Gender
Male
Address
W3275 Wolf River Road, Keshena, WI, 54135-0970
Phone Number
715-799-5451
Fax Number
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39691700 05 WI
institution
Provider Business Practice Location Address Details
Address
W3275 Wolf River Road
City
Keshena
State
Wisconsin
Zip
54135
Phone Number
715-799-5451
Fax Number
person
Provider Business Mailing Address Details
Address
W3275 Wolf River Road
City
Keshena
State
Wisconsin
Zip
54135
Phone Number
715-799-5451
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
3082-123 (Wisconsin)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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