Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Fuller LICSW LLC

Organization Clinical Social Worker · NPI 1104757913

Jessica Fuller LICSW LLC is a Clinical Social Worker in South Hamilton, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205B Willow St Ste B3A
South Hamilton, MA 01982-2228
Phone: (413) 238-1571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104757913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Fuller — Owner/Theraoust · (413) 238-1571
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address205b Willow St Ste B3a, South Hamilton, MA 01982-2228

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