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

Kalli Fuller, LSW

Individual provider Mental Health Counselor · NPI 1790507853

Kalli Fuller, LSW is a Mental Health Counselor in Coal City, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

295 W Division St
Coal City, IL 60416-1581
Phone: (708) 515-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 150.114766 (IL)

Record details

NPI number1790507853
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address290 Partridge Run Dr, Braidwood, IL 60408-2304

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