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

Mrs. Jennifer Fuller

Individual provider Clinical Social Worker · NPI 1053962647

Mrs. Jennifer Fuller is a Clinical Social Worker in Jackson, Michigan. Qualified in 2017, 9 years ago. Practices with Flourish Center for Cultivating Human Potential, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

2652 Spring Arbor Rd
Jackson, MI 49203-3604
Phone: (517) 960-9023
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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 6801101652 (MI)

Record details

NPI number1053962647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019
Mailing address531 N Pleasant St, Jackson, MI 49202-3623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Flourish Center For Cultivating Human Potential — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson