Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katy L Fuller, LCSW-R

Individual provider Clinical Social Worker · NPI 1275551392

Katy L Fuller, LCSW-R is a Clinical Social Worker in Queensbury, New York. Qualified in 2002, 24 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

161 Carey Rd
Queensbury, NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 38 Larose St, Glens Falls, NY 12801-3452 — (518) 824-8181

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (NY)

Record details

NPI number1275551392
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Queensbury