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

Ellen Dawn Colegrove-Fullerton

Individual provider Social Worker · NPI 1649054636

Ellen Dawn Colegrove-Fullerton is a Social Worker in McKinleyville, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1560 Betty Ct
McKinleyville, CA 95519-4405
Phone: (707) 839-1933
Fax: (707) 839-1726
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 117221 (CA)

Record details

NPI number1649054636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

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