Peter J. Fuller, LCSW, LADC

Clinical Social Worker · Springvale, ME

Individual Active NPI

NPI number 1659652022

Practice location

474 Main St
Springvale, ME 04083-1409
Phone
(207) 324-1500
Fax
(207) 490-5263

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NPI record

NPI
1659652022
Entity type
Individual (Type 1)
Enumeration date
August 30, 2011
Last updated
June 22, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LC4929 ME
Addiction (Substance Use Disorder) Counselor 101YA0400X LC4294 ME

Mailing address

78 Atlantic Place
South Portland, ME 04106-2316
Phone
(207) 661-6654
Fax
(207) 842-7773

About Peter Fuller

Peter J. Fuller, LCSW, LADC is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 474 Main St, Springvale, ME 04083-1409. The NPI number 1659652022 was assigned on August 30, 2011 and the record was last updated on June 22, 2016.

Peter Fuller lists 2 licenses in the registry: #LC4929 (ME) for Clinical Social Worker; #LC4294 (ME) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter J. Fuller, LCSW, LADC?

The NPI number is 1659652022.

What is the phone number of Peter Fuller?

The phone number listed for the practice location is (207) 324-1500.

Where is Peter Fuller located?

474 Main St, Springvale, ME 04083-1409.

What is the taxonomy code for Peter Fuller?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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