MR. DALE W FULLER (NPI# 1053472514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053472514 |
| Entity Type | Individual |
| Full Name | MR. DALE W FULLER |
| Credential | LCSW |
| Practice Address |
742 James Street Syracuse NY 13203 |
| Mailing Address |
742 James Street St Josephs Hospital Health Center Mental Health Center Syracuse NY 13203 |
| Practice Telephone | 3157032700 |
| Practice Fax Number | 3157032730 |
| Mailing Telephone | 3157032700 |
| Mailing Fax Number | 3157032730 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R033210 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275859720 | Dale Debra Fuller | Mechanotherapist | 2161 Sarah Ct, East Stroudsburg, PA 18301 | 2010-04-08 |
| 1255462735 | Dale Fuller | Nurse Practitioner | 6317 Harris Pkwy, Ste.300, Fort Worth, TX 76132-4256 | 2007-03-08 |
| 1235159310 | Dale Eugene Fuller | Radiology | 12221 Merit Drive, #500, Dallas, TX 75251 | 2006-07-20 |
| Street Address |
742 JAMES STREET |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053472597 | Wendy L Knafelc | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| 1841459542 | Dana J Gosson | Social Worker | 742 James Street, Syracuse, NY 13203 | 2008-06-06 |
| 1740449438 | Joan Marie Brieaddy | Social Worker | 742 James Street, Syracuse, NY 13203 | 2008-06-06 |
| 1386700607 | Diane M Plumadore | Nurse Practitioner | 742 James Street, Syracuse, NY 13203 | 2006-12-29 |
| 1699837690 | Joseph L Smith | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-15 |
| 1841351384 | Kathleen Rachel Haley | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| 1295896736 | Dawn Marie Stanton | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| 1013078559 | Diane Theresa Ogno | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| 1821159369 | Joan Marie Myers | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| 1700947249 | Robert Joseph Maxwell Sr. | Social Worker | 742 James Street, Syracuse, NY 13203 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| 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 |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1063023265 | Jessica Kaye Bouges | Social Worker | 821 E Brighton Ave Apt 802, Syracuse, NY 13205-2508 | 2020-08-11 |
| 1164044087 | Ednita Marie Wright | Social Worker | 135 Alanson Rd, Syracuse, NY 13207-1503 | 2020-05-13 |
| 1801416383 | Sara Danielle Mcalister | Social Worker | 5133 Kasson Rd, Syracuse, NY 13215-8623 | 2020-04-24 |
| 1598392110 | Jean M Burdick | Social Worker | 6900 Thompson Rd, Syracuse, NY 13211-1328 | 2020-03-24 |
| 1013491737 | Patrick Alvin Ryan | Social Worker | 602 Crossett St, Syracuse, NY 13207-1250 | 2018-09-18 |
| 1881182020 | Diandra Morse | Social Worker | 3532 James St Ste 112, Syracuse, NY 13206-2547 | 2018-04-24 |
| 1083122311 | Amber Oliver | Social Worker | 307 Cambridge Ave, Syracuse, NY 13208-1446 | 2018-01-22 |
| 1700394152 | Celia Kamps, Lcsw, Pllc | Social Worker | 2507 James St Ste 206, Syracuse, NY 13206-2825 | 2018-01-19 |
| 1699283770 | Karla Beth Murphy | Social Worker | 635 Madison Street, Syracuse, NY 13210 | 2018-01-11 |
| Find all providers in SYRACUSE | ||||
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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.