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

Jennifer Ann Fuller

Individual provider Social Worker · NPI 1700682341

Jennifer Ann Fuller is a Social Worker in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3079 Harrison Ave Ste D
South Lake Tahoe, CA 96150-7976
Phone: (530) 721-2664
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 129874 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1700682341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

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