Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATINA FELISA FULLER, DSW, LCSW, CCM
Active Sole ProprietorDR. KATINA FELISA FULLER, DSW, LCSW, CCM is a Clinical Social Worker healthcare provider located in VILLA RICA, Georgia. NPI 1598546194 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · VILLA RICA, GA
Registration Details
- NPI Number
- 1598546194
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2023 (2.8473069353769 yrs)
- Last Updated
- Oct 10, 2023
- License
-
CSW007891 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 BONNIE SUE DRVILLA RICA, GA, 301805517Browse GA providers · Browse ZIP 30180
- Phone
- 6787398497
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in VILLA RICA, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. TANITA M TEAGLE | LCSW | 1164589248 |
| KALENE MCSWAIN FAULKNER | — | 1255757951 |
| MACY PRESTON | — | 1891482790 |
| MRS. WINNFRED TIMMONS | LCSW | 1841984192 |
| SHARILEE BENJAMIN | LCSW | 1447080098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.