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

Mr. Cornelius Fuller, LBSW

Individual provider Social Worker · NPI 1669686853

Mr. Cornelius Fuller, LBSW is a Social Worker in Dearborn, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

1 Parklane Blvd Ste 200E
Dearborn, MI 48126-2400
Phone: (313) 846-2606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3011 W Grand Blvd, Detroit, MI 48202-3096 — (313) 263-2456

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802033061 (MI)

Record details

NPI number1669686853
Entity typeIndividual (Type 1)
GenderMale
Credentials LBSW
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

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