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

Mary Jewel Fuller, LCSW

Individual provider Clinical Social Worker · NPI 1447187125

Mary Jewel Fuller, LCSW is a Clinical Social Worker in Clintwood, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026
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

440 Fox Town Rd
Clintwood, VA 24228-5077
Phone: (276) 926-1680
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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 0904020438 (VA)

Record details

NPI number1447187125
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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