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

Michael Jay Fuller, MED, MSW

Individual provider Social Worker · NPI 1689551939

Michael Jay Fuller, MED, MSW is a Social Worker in Nampa, Idaho. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4332 E Thomas Mill Dr
Nampa, ID 83686-3020
Phone: (208) 989-7548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13800975-3502 (UT)

Record details

NPI number1689551939
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , MSW
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address4332 E Thomas Mill Dr, Nampa, ID 83686-3020

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