Kelsey Fuller, LCSW is a
Social Worker - Clinical based in San Mateo, California. Kelsey Fuller is licensed to practice in California (license number 66820) and her current practice location is
2600 S El Camino Real, Suite #200, San Mateo, California. She can be reached at her office (for appointments etc.) via phone at
(650) 393-8904.
NPI number for Kelsey Fuller is 1932526563 and her current mailing address is 2600 S El Camino Real, Suite #200, San Mateo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932526563.
Healthcare Provider's Profile
| Full Name | Kelsey Fuller |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 2600 S El Camino Real, San Mateo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932526563
- Provider Enumeration Date: 03/20/2014
- Last Update Date: 05/13/2017
Medical Identifiers
Medical identifiers for Kelsey Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932526563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 66820 (California) | 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. Kelsey 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 Address | Practice Location Address |
|---|
Kelsey Fuller, LCSW
2600 S El Camino Real, Suite #200,
San Mateo, CA 94403-2380
Ph: (650) 393-8904 | Kelsey Fuller, LCSW
2600 S El Camino Real, Suite #200,
San Mateo, CA 94403-2380
Ph: (650) 393-8904 |
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