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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39797500 | 05 |
| Street Address |
2639 NEW PINERY RD STE 1 |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-1110 |
| 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 |
| 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 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PORTAGE | ||||
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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.