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

Mackenzie Fulleton, LCSW

Individual provider Clinical Social Worker · NPI 1730831405

Mackenzie Fulleton, LCSW is a Clinical Social Worker in Bozeman, Montana. Licensed in Montana. Registered with an NPI since 2022.

Licensed in
MT
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

321 E Main St Ste 207
Bozeman, MT 59715-4731
Phone: (406) 209-4928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-70738 (MT)

Record details

NPI number1730831405
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address10542 Po Box, Bozeman, MT 59719

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