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

Brent Fuller, ASW

Individual provider Social Worker · NPI 1912678863

Brent Fuller, ASW is a Social Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

3881 S Western Ave
Los Angeles, CA 90062-1105
Phone: (626) 630-7337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 118763 (CA)

Record details

NPI number1912678863
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedSeptember 21, 2021
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

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