JACOB FULLER (NPI# 1063063667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063063667 |
| Entity Type | Individual |
| Full Name | JACOB FULLER |
| Practice Address |
213 Hubbard St Allegan MI 49010-1320 |
| Practice Telephone | 2696731896 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1376175646 | Jacob Matthew Fuller | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2020-02-05 |
| 1780159616 | Jacob Fuller | Behavior Technician | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2018-10-08 |
| 1720423536 | Jacob Dean Fuller | Licensed Practical Nurse | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2013-05-07 |
| Street Address |
213 HUBBARD ST |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386096733 | Pathways Mi Allegan | Counselor | 213 Hubbard St, Allegan, MI 49010-1320 | 2016-07-11 |
| 1033742713 | Susan L Holcomb | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2020-02-20 |
| 1588148191 | Elondra Varice | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2018-09-19 |
| 1982183117 | Kodi Hudson | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2018-08-08 |
| 1164910550 | Kathryne Boerman | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2018-05-01 |
| 1477088870 | Samantha Kling | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2017-04-24 |
| 1306397930 | Arbor Circle Corp | Counselor | 213 Hubbard St, Allegan, MI 49010-1320 | 2016-10-19 |
| 1316399496 | Tony Lewis Schnotala | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1235590043 | Bethany Christian Services | Social Worker | 892 Marshall St, Allegan, MI 49010-1637 | 2016-03-08 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1093144685 | Lindsay Medendorp | Social Worker | 3285 122nd Ave Po Drawer 130, Allegan, MI 49010-0130 | 2013-11-05 |
| 1033742713 | Susan L Holcomb | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2020-02-20 |
| 1427611672 | Caitlin Bradley | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2019-04-15 |
| 1255898490 | Alisa Becklar | Social Worker | 3283 122nd Ave, Allegan, MI 49010-9511 | 2019-02-25 |
| 1114483344 | Phyllis Hepp | Social Worker | 530 Linn St, Allegan, MI 49010-1562 | 2019-02-12 |
| 1801364484 | Eve Parker | Social Worker | 3283 122nd Ave, Allegan, MI 49010-9511 | 2018-11-13 |
| 1588148191 | Elondra Varice | Social Worker | 213 Hubbard St, Allegan, MI 49010-1320 | 2018-09-19 |
| Find all providers in ALLEGAN | ||||
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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.