DONNA FASULLO (NPI# 1326006735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326006735 |
| Entity Type | Individual |
| Full Name | DONNA FASULLO |
| Credential | LCSW |
| Practice Address |
3027 Marina Bay Dr Suite 110 League City TX 77573-2729 |
| Practice Telephone | 7136877644 |
| Practice Fax Number | 2812406481 |
| Mailing Telephone | 7136877644 |
| Mailing Fax Number | 2812406481 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1041C0700X | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146355602 | 05 | |
| TX | BC/BS | 00S03P | 01 |
| TX | 124104401 | 05 |
| Street Address |
3027 MARINA BAY DR SUITE 110 |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276213 | Roberto Omar Cantu | Chiropractor | 3027 Marina Bay Dr, League City, TX 77573-2729 | 2005-06-28 |
| 1083080790 | Benjamin Sanford Sheehan | Chiropractor | 3027 Marina Bay Dr, Suite 203, League City, TX 77573-2729 | 2015-08-17 |
| 1124203518 | Eldercom of Clear Lake, Inc | Clinic/Center | 3027 Marina Bay Dr, Suite 110, League City, TX 77573-2729 | 2008-01-03 |
| 1861507527 | Toni Turner | Speech-Language Pathologist | 3027 Marina Bay Dr, #105, League City, TX 77573-2729 | 2006-08-20 |
| 1841213816 | Jamie L Miles | Chiropractor | 3027 Marina Bay Dr, Ste 105, League City, TX 77573-2772 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263743 | Bridget Lewis | Social Worker | 3045 Marina Bay Dr Apt 6101, League City, TX 77573-2774 | 2020-10-20 |
| 1699239004 | Raquel Linda Alva | Social Worker | 3027 Marina Bay Dr Ste 205, League City, TX 77573-2888 | 2019-01-30 |
| 1275067274 | Katerina Hewson | Social Worker | 4706 Hermosa Arroyo Dr, League City, TX 77573-6822 | 2017-04-17 |
| 1992169593 | Veronica Bowler | Social Worker | 2425 Pebble Beach Dr, League City, TX 77573-6418 | 2016-04-09 |
| 1619301009 | Nicole Newby | Social Worker | 194 Whitehall Ln, League City, TX 77573-7247 | 2013-08-21 |
| 1992063499 | Carolyn Owens Hall | Social Worker | 2213 Golden Sails Dr, League City, TX 77573-6607 | 2012-05-02 |
| 1619259249 | Donald Louis Lefeber | Social Worker | 2282 Catalonia Cv, League City, TX 77573-3337 | 2011-09-09 |
| 1679649313 | Joan Marylyn Eisner | Social Worker | 620 West Main St, League City, TX 77573 | 2006-11-27 |
| 1033281100 | Patricia Jane Lachance | Social Worker | 620 3rd St, League City, TX 77573-2412 | 2006-11-14 |
| 1407941610 | Regina M Andrews-duarte | Social Worker | 2630 Swift Creek Dr, League City, TX 77573-3065 | 2006-10-04 |
| Find all providers in LEAGUE CITY | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
Please comment or provide details below to improve the information on DONNA FASULLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.