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

Mrs. Fatimaah D Fullilove, LSW, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003329228

Mrs. Fatimaah D Fullilove, LSW, LICDC is an Addiction (Substance Use Disorder) Counselor in Mentor, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E 55th St, Cleveland, OH 44103-1304 — (216) 391-6672

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S.2106096 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 162016 (OH)
Social Worker Taxonomy 104100000X · Licence 2106096 (OH)

Record details

NPI number1003329228
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , LICDC
Sole proprietorYes
NPI enumeratedNovember 9, 2017
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

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