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

Ellen Fuller, LBSW, QMRP, QMHP

Individual provider Social Worker · NPI 1184045585

Ellen Fuller, LBSW, QMRP, QMHP is a Social Worker in Harrison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
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Practice location Address checks out

789 N Clare Ave
Harrison, MI 48625-9194
Phone: (989) 539-2141
Fax: (989) 539-2143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802060717 (MI)

Record details

NPI number1184045585
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBSW , QMRP , QMHP
Sole proprietorYes
NPI enumeratedJanuary 2, 2014
Last updated in NPPESJanuary 2, 2014

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