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

MS. Alexis Fuller, LCSW

Individual provider Social Worker · NPI 1679269153

MS. Alexis Fuller, LCSW is a Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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

1130 S Canal St
Chicago, IL 60607-5058
Phone: (520) 487-1975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 149031797 (IL)

Record details

NPI number1679269153
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026

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