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

Jennifer Fullwood

Individual provider Clinical Social Worker · NPI 1184290876

Jennifer Fullwood is a Clinical Social Worker in Orlando, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5115 Anzio St
Orlando, FL 32819-8407
Phone: (321) 290-0898
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1184290876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

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