ANISSA LYNN FULLER (NPI# 1417123068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417123068 |
| Entity Type | Individual |
| Full Name | ANISSA LYNN FULLER |
| Credential | LISW |
| Practice Address |
201 Hospital Dr Dover OH 44622-2058 |
| Practice Telephone | 3303436631 |
| Practice Fax Number | 3303438188 |
| Mailing Telephone | 3303436631 |
| Mailing Fax Number | 3303438188 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I. 0008627 | OH | Behavioral Health & Social Service Providers |
| Street Address |
201 HOSPITAL DR |
| City | DOVER |
| State | OH |
| Zip Code | 44622-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395984 | Jill Suzanne Tucker | Case Manager/Care Coordinator | 201 Hospital Dr, Dover, OH 44622-2058 | 2020-10-28 |
| 1962025718 | Joshua Prince | Counselor | 201 Hospital Dr, Dover, OH 44622-2058 | 2020-05-27 |
| 1376182410 | Caitlin Cable | Counselor | 201 Hospital Dr, Dover, OH 44622-2058 | 2020-01-06 |
| 1508407115 | Gladstone Erol Pilgrim Jr. | Case Manager/Care Coordinator | 201 Hospital Dr, Dover, OH 44622-2058 | 2019-10-04 |
| 1568924892 | Allison Dobbs Hanle | Case Manager/Care Coordinator | 201 Hospital Dr, Dover, OH 44622-2058 | 2019-04-04 |
| 1114481611 | Kori French | Case Management | 201 Hospital Dr, Dover, OH 44622-2058 | 2019-01-29 |
| 1326512898 | Anna Grace Olsen | Counselor | 201 Hospital Dr, Dover, OH 44622-2058 | 2019-01-17 |
| 1528531787 | Debohra L Kiko | Registered Nurse | 201 Hospital Dr, Dover, OH 44622-2058 | 2019-01-09 |
| 1093286825 | Marianne Lynn Pate | Registered Nurse | 201 Hospital Dr, Dover, OH 44622-2058 | 2018-12-05 |
| 1639646334 | Lauri Ann Bennard | Case Manager/Care Coordinator | 201 Hospital Dr, Dover, OH 44622-2058 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1649895368 | Macie Quarles | Social Worker | 719 Bicentennial Blvd, Dover, DE 19904-7601 | 2020-06-09 |
| 1225652589 | Brooke Sharlow | Social Worker | 523 S Red Haven Ln, Dover, DE 19901-6407 | 2020-06-02 |
| 1174143184 | Tufts Counseling, Pllc. | Social Worker | 90 Washington St Ste 301d, Dover, NH 03820-3744 | 2020-04-20 |
| 1003442617 | Brittany Cosme | Social Worker | 318 Crickle Creek Ln, Dover, DE 19904-5737 | 2020-03-14 |
| 1225675317 | Blue Water Counseling and Wellness, Pllc | Social Worker | 835 Central Ave Ste 126, Dover, NH 03820-2506 | 2019-12-08 |
| 1760023311 | Jemb, Pllc | Social Worker | 2 Washington St Ste 216, Dover, NH 03820-3893 | 2019-10-04 |
| 1356811665 | Jayson Raul Corvalan | Social Worker | 96 W Clinton St, Dover, NJ 07801-3405 | 2018-11-29 |
| 1548737901 | Holly Welsh Cande | Social Worker | 11 Hawthorne Rd, Dover, NH 03820-4218 | 2018-10-24 |
| 1225513161 | Sara Becker Goodliss | Social Worker | 21 Whiting Rd, Dover, MA 02030-2452 | 2018-09-26 |
| 1023590270 | Jennifer C Spargo | Social Worker | 7 Westwood Cir, Dover, NH 03820-4321 | 2018-09-04 |
| Find all providers in DOVER | ||||
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| 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.