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

MS. Ridgely Plater Fuller

Individual provider Clinical Social Worker · NPI 1629120514

MS. Ridgely Plater Fuller is a Clinical Social Worker in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007

Practice location Address checks out

4 Riverview Ave
Waltham, MA 02453-3818
Phone: (781) 790-1419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100368 (MA)

Record details

NPI number1629120514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007

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