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

Mr. Carl Wayne Fuller Jr., LCSW

Individual provider Mental Health Counselor · NPI 1811389943

Mr. Carl Wayne Fuller Jr., LCSW is a Mental Health Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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

1508 F St
Sacramento, CA 95814-1609
Phone: (916) 794-9070
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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 LCSW97972 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW64583 (CA)

Record details

NPI number1811389943
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2015
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

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