Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jordan Isaiah Fuller, LMSW, CSW-I

Individual provider Clinical Social Worker · NPI 1407797954

Mr. Jordan Isaiah Fuller, LMSW, CSW-I is a Clinical Social Worker in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2026.

Licensed in
NV
In the registry since
2026
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3430 E Russell Rd Ste 315
Las Vegas, NV 89120-2201
Phone: (725) 238-6990
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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 13054-M (NV)

Record details

NPI number1407797954
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , CSW-I
Sole proprietorNo
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

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