Dr Katina Felisa Fuller, DSW, LCSW, CCM - Clinical Social Worker in Villa Rica, GA

Dr Katina Felisa Fuller, DSW, LCSW, CCM is a Social Worker - Clinical based in Villa Rica, Georgia. Dr Katina Felisa Fuller is licensed to practice in Georgia (license number CSW007891) and her current practice location is 212 Bonnie Sue Dr, Villa Rica, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 739-8497.

NPI number for Dr Katina Felisa Fuller is 1598546194 and her current mailing address is 212 Bonnie Sue Dr, Villa Rica, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598546194.

Contact Information

Dr Katina Felisa Fuller, DSW, LCSW, CCM
212 Bonnie Sue Dr,
Villa Rica, GA 30180-5517
(678) 739-8497
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Katina Felisa Fuller
GenderFemale
SpecialitySocial Worker - Clinical
Location212 Bonnie Sue Dr, Villa Rica, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598546194
  • Provider Enumeration Date: 10/10/2023
  • Last Update Date: 10/10/2023

Medical Identifiers

Medical identifiers for Dr Katina Felisa Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598546194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW007891 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Katina Felisa Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Katina Felisa Fuller, DSW, LCSW, CCM
212 Bonnie Sue Dr,
Villa Rica, GA 30180-5517

Ph: (678) 739-8497
Dr Katina Felisa Fuller, DSW, LCSW, CCM
212 Bonnie Sue Dr,
Villa Rica, GA 30180-5517

Ph: (678) 739-8497

Reviews and Comments


Social Worker in Villa Rica, GA

Mrs. Tanita M Teagle, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 60 Alloway Dr, Villa Rica, GA 30180
Phone: 404-210-5546    
Kalene Mcswain Faulkner,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 35 Preston Ct, Villa Rica, GA 30180
Phone: 909-461-0047    
Sharilee Benjamin, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1088 Magnolia Dr, Villa Rica, GA 30180
Phone: 301-455-4813    
Mrs. Winnfred Timmons, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 244 Raleigh Way, Villa Rica, GA 30180
Phone: 770-815-1977    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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