PETER J. FULLER LCSW, LADC
NPI 1659652022
Social Worker - Clinical in Springvale, ME
NPI Status: Active since August 30, 2011
Contact Information
474 MAIN ST
SPRINGVALE, ME
ZIP 04083
Phone: (207) 324-1500
Fax: (207) 490-5263
- Individual
- Male
- Social Worker
- Clinical
About PETER FULLER
This page provides the complete NPI Profile along with additional information for Peter Fuller, a provider established in Springvale, Maine with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1659652022 assigned on August 2011. The practitioner's primary taxonomy code is 1041C0700X with license number LC4929 (ME). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1659652022
- Provider Name
- PETER J. FULLER LCSW, LADC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 474 MAIN ST SPRINGVALE, ME 04083
- Location Phone
- (207) 324-1500
- Location Fax
- (207) 490-5263
- Mailing Address
- 78 ATLANTIC PLACE SOUTH PORTLAND, ME 04106
- Mailing Phone
- (207) 661-6654
- Mailing Fax
- (207) 490-5263
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2011
- Last Update Date
- 06-22-2016
- Code Navigator
A clinical social worker like Peter Fuller is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC4929
- License State
- ME
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | LC4294 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E400170036 | MEDICARE PIN (08) | ME | |
| 002386001 | MEDICARE PIN (08) | ME |
Reviews for PETER J. FULLER LCSW, LADC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 6 | 5 | 2 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 12 | 5 | 4 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 2 + 5 + 4 + 0 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1659652022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679583959 | JILL BROWN LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1285742940 | HALYA ZADORETZKY LCPC Individual | Counselor (Professional) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1588775936 | ADAM J BOISVERT LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1154409415 | PATRICK V SMITH LMSW/CC Individual | Social Worker | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1689715575 | REBECCA J TOLMAN LMSWCC Individual | Counselor (Mental Health) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1063614766 | CAROL LOMBARD LSW Individual | Counselor (Mental Health) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1134377708 | DAVID P APPELL Individual | Counselor (Mental Health) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 490-8301 |
| 1053550038 | LYNNE SIGNORE RN Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1073848131 | LINDSEY LOKKEN Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1053623678 | LAURIE KEENE LMSW-CC Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1053610600 | KELLEY BERNARD Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1215946710 | GARY D. MCNEILL CNS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1376553016 | DONNA L. WATERMAN LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1225048515 | LILLIAN MARY LAROSE LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1720195480 | DOROTHY MELE LCPC Individual | Counselor (Professional) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1639341290 | NANCY JEAN VERRILL LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1245557818 | TAMARA E. KIERNAN LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1265448336 | LORRAINE KIMBALL SWENSON LCPC Individual | Counselor (Professional) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1063529733 | ANDREA W.B. MILLS LMSW-CC Individual | Social Worker | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
| 1972688950 | ROBERTA P. WENTWORTH LCSW Individual | Social Worker (Clinical) | 474 MAIN ST SPRINGVALE, ME 04083 (207) 324-1500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659652022, enumerated in the NPI registry as an "individual" on August 30, 2011
The provider is located at 474 Main St Springvale, Me 04083 and the phone number is (207) 324-1500
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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