Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANN FULLER
ActiveJENNIFER ANN FULLER is a Social Worker healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1700682341 is currently active in the NPPES registry. Verify at CMS.
Social Worker · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1700682341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2025 (1.2860313505202 yrs)
- Last Updated
- Apr 28, 2025
- License
-
129874 (CA)
Practice Information
- Address
-
3079 HARRISON AVE STE DSOUTH LAKE TAHOE, CA, 961507976Browse CA providers · Browse ZIP 96150
- Phone
- 5307212664
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Case Manager
Other Social Worker Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| JAMIE SHEETS | — | 1538695366 |
| CHERYL MARIE FRAWLEY | MSW | 1558890699 |
| NICOLE MARIE VANDEHURST | MA | 1316578701 |
| KSENIA USTINOVA | ACSW | 1114694338 |
| SUSAN ARIANA TARISA BENHAM | — | 1154065639 |
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.