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

Anna R Fullmer, MSSW, LCSW

Individual provider Clinical Social Worker · NPI 1306897467

Anna R Fullmer, MSSW, LCSW is a Clinical Social Worker in Wautoma, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

400 S Townline Rd
Wautoma, WI 54982-6922
Phone: (920) 787-5514
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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 · Licence 6573-123 (WI)

Record details

NPI number1306897467
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSW , LCSW
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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