Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerry Lee Fuller Jr., LCSW

Individual provider Clinical Social Worker · NPI 1801953716

Mr. Jerry Lee Fuller Jr., LCSW is a Clinical Social Worker in Bloomfield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
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

31 N Ave
Bloomfield, NJ 07003-5516
Phone: (973) 338-8530
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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 44SC05222700 (NJ)

Record details

NPI number1801953716
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESFebruary 2, 2009

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