SHANICE FULLER (NPI# 1386043537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386043537 |
| Entity Type | Individual |
| Full Name | SHANICE FULLER |
| Credential | LMSW |
| Practice Address |
2411 W Main St Jacksonville AR 72076-4211 |
| Practice Telephone | 5019825402 |
| Mailing Telephone | 5019825402 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158901 | Shanice Fuller | Social Worker | 2250 Holland Ave, Bronx, NY 10467-9402 | 2020-03-12 |
| Street Address |
2411 W MAIN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629035043 | Pathfinder, Inc. | Clinic/Center | 2411 W Main St, Jacksonville, AR 72076-4211 | 2006-04-28 |
| 1639697675 | Brooke Walker | Social Worker | 2411 W Main St, Jacksonville, AR 72076 | 2017-08-30 |
| 1174973150 | Lacy Jordan Green | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2016-06-21 |
| 1386011286 | Anna Cook | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2015-08-26 |
| 1952792442 | Lisa Sproull Weithman | Counselor | 2411 W Main St, Jacksonville, AR 72076-4211 | 2015-02-05 |
| 1063851715 | Nichole Marie James | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2013-06-17 |
| 1073860326 | Brittani Tester | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2012-08-06 |
| 1962787689 | Tina Banks | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2011-10-13 |
| 1053691394 | Coty Camille Bahler | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2011-08-18 |
| 1801174545 | Margaret Mcmenamy Lindley | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758564 | Kelsey Lillard Embry | Social Worker | 2411 W. Main St., Jacksonville, AR 72076-8868 | 2017-09-07 |
| 1437391224 | Treena M Roads | Social Worker | 1307 Edgehill Rd, Jacksonville, IL 62650-2729 | 2009-03-25 |
| 1881908515 | Laura Elizabeth King | Social Worker | 2411 W Main St, Jacksonville, AR 72076-4211 | 2010-08-05 |
| 1942420567 | Abigail Diane Wacaser | Social Worker | 125 S Webster Ave, Jacksonville, IL 62650-1877 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265808281 | Elizabeth Demoret | Social Worker | 4301 W Markham St # 841, Little Rock, AR 72205-7101 | 2015-08-13 |
| 1245616341 | Lakese Hicks | Social Worker | 7 Southern Hills Cir Apt 9, Little Rock, AR 72210-6102 | 2015-07-31 |
| 1629477468 | Candace Woodruff | Social Worker | 400 W Hill Ct, North Little Rock, AR 72118-3687 | 2014-08-18 |
| 1023359817 | Katherine J Grennier | Social Worker | 1506 Commerce St, Little Rock, AR 72202-5520 | 2013-03-05 |
| 1366049611 | Deborah Lynn Burks | Social Worker | 110 S Cherry St, Harrison, AR 72601-5024 | 2020-10-08 |
| 1639527385 | Brooke Allison Butler | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2016-06-02 |
| 1164891933 | Stephanie C Shaw | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-09-22 |
| 1306212394 | Emily Wright | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-08-13 |
| 1073994091 | Tori Tewalt | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-06-16 |
| 1851779680 | Phillip Myton | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-05-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on SHANICE FULLER.
| 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.