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

MS. Mary Fullerton, LCSW

Individual provider Clinical Social Worker · NPI 1558522045

MS. Mary Fullerton, LCSW is a Clinical Social Worker in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
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

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone: (352) 376-1611
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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 SW 6195 (FL)

Record details

NPI number1558522045
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 18, 2008

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