ANNA R FULLMER


Address: 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110
Phone: 6087425020

ANNA R FULLMER (NPI# 1306897467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306897467
Entity Type Individual
Full Name ANNA R FULLMER
Other Name BARBARA J FULLMER
Credential MSSW, LCSW
Practice Address 2639 New Pinery Rd Ste 1
Portage
WI 53901-1110
Practice Telephone 6087425020
Practice Fax Number 6087423641
Mailing Telephone 6087425020
Mailing Fax Number 6087423641
Enumeration Date 2006-05-13
Last Update Date 2018-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39797500 05

Office Location

Street Address 2639 NEW PINERY RD STE 1
City PORTAGE
State WI
Zip Code 53901-1110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154967818 Corinne S Truxal Counselor 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 2019-11-18
1396303350 Jessica Reo Social Worker 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 2019-06-04
1962507160 Joseph Huber Social Worker 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 2006-09-13
1407951767 Kathleen Cook Marriage & Family Therapist 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 2006-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740710748 Robert James Corliss Internal Medicine St. Vincent Fmc, 140east Cook St., Portage, WI 53901 2017-06-13
1639328867 Casey Jo Ambort Speech-Language Pathologist 626 East Slifer St, Portage, WI 53901 2008-09-11
1871767400 Planned Parenthood of Wi, Inc Non-Pharmacy Dispensing Site 132 W. Cook St., Portage, WI 53901 2008-04-15
1881872158 Marta Jean Jindra Physical Therapist 626 E Slifer Street, Portage, WI 53901 2008-02-08
1699953976 Lana Marie Edwards Speech-Language Pathologist 626 East Slifer Street, Portage, WI 53901 2008-02-08
1134314552 Kristina Hellenbrand Physical Therapist 2639 New Pinery Road, Suite 2, Portage, WI 53901 2007-09-10
1689727810 Gregory Allan Bindl Chiropractor 2121new Pinery Rd, Portage, WI 53901 2007-01-19
1720149156 Timothy J Rosin Dds Sc Dentist 2570 New Pinery Rd, Portage, WI 53901 2006-12-12
1710083779 Currani Seubert Dental Office LLC Dentist 260 W Cook St, Portage, WI 53901 2006-09-16
1225090525 University of Wisconsin Medical Foundation Inc Durable Medical Equipment & Medical Supplies 2977 Cty Hwy Cx, Portage, WI 53901 2006-04-04
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982215703 Rudolph Ruffer Social Worker 524 E Milham Ave Ste B, Portage, MI 49002-1473 2020-08-14
1366912214 Elaine Marie Catlin Social Worker 7555 Timbercreek Ct Apt 4, Portage, MI 49024-7024 2018-12-03
1942753199 Cynthia Vanderweele Social Worker 6130 Lovers Ln, Portage, MI 49002-3026 2016-07-24
1013380914 Jennifer Diamond Social Worker 1148 Saddle Rdg, Portage, WI 53901-9799 2015-11-02
1366837858 Kathy Lard Social Worker 640 Romence Rd Ste 211a, Portage, MI 49024-3400 2015-04-01
1548513609 Jason Leo Helsel Social Worker 827 Farren St, Portage, PA 15946-1803 2012-10-25
1366793390 Karin Addie Cummins Social Worker 8765 Wild Rose Ln, Portage, UT 84331-8924 2012-10-01
1639328339 Chaya Devin Henkel Social Worker 1611 W Centre Ave, Ste 212, Portage, MI 49024 2008-09-17
1316111461 Bobbi Sue Casey Social Worker 6204 Lovers Lane, Portage, MI 49002 2008-04-19
1477721991 Loevetta Crowell Social Worker 3253 Whittier St, Portage, IN 46368-4813 2008-02-19
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Competitor

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City PORTAGE
Zip Code 53901

Improve Information

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Dataset Information

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.

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