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

Carrie Fuller, BS

Individual provider Clinical Social Worker · NPI 1396165395

Carrie Fuller, BS is a Clinical Social Worker in Eugene, Oregon. Qualified in 2018, 8 years ago. Practices with Center for Family Development, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2014
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1258 High St
Eugene, OR 97401-3238
Phone: (541) 342-8437
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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 L11946 (OR)

Record details

NPI number1396165395
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address3995 Marcola Rd, Springfield, OR 97477-7948

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Center For Family Development, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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