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

Individual provider Clinical Social Worker · NPI 1700156676

Constance L Fuller, LCSW is a Clinical Social Worker in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2012
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

5760 I 55 N Ste 450
Jackson, MS 39211-2651
Phone: (601) 956-4816
Fax: (601) 956-4817
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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 C2323 (MS)

Record details

NPI number1700156676
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

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