Mr Clifton Henry Fuller, LCSW, LPC, LMFT is a
Social Worker - Clinical based in San Antonio, Texas. Mr Clifton Henry Fuller is licensed to practice in Texas (license number 299) and his current practice location is
12951 Huebner Rd, Ste 781466, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 970-1511.
NPI number for Mr Clifton Henry Fuller is 1831202613 and his current mailing address is 12951 Huebner Rd, Ste 781466, San Antonio, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831202613.
Healthcare Provider's Profile
Full Name | Mr Clifton Henry Fuller |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 12951 Huebner Rd, San Antonio, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831202613
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 08/28/2023
Medical Identifiers
Medical identifiers for Mr Clifton Henry Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831202613 | NPI | - | NPPES |
742637802 | Other | TX | EMPLOYEE IDENTIFICATION # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | #09189 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 9189 (Texas) | Secondary |
106H00000X | Marriage & Family Therapist | 1081 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 299 (Texas) | 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. Mr Clifton Henry 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 |
Mr Clifton Henry Fuller, LCSW, LPC, LMFT 12951 Huebner Rd, Ste 781466, San Antonio, TX 78230-9998 Ph: (210) 970-1511 | Mr Clifton Henry Fuller, LCSW, LPC, LMFT 12951 Huebner Rd, Ste 781466, San Antonio, TX 78230-9998 Ph: (210) 970-1511 |
Reviews and Comments