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

Individual provider Clinical Social Worker · NPI 1659652022

Peter J. Fuller, LCSW, LADC is a Clinical Social Worker in Springvale, Maine. Licensed in Maine. Registered with an NPI since 2011.

Licensed in
ME
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

474 Main St
Springvale, ME 04083-1409
Phone: (207) 324-1500
Fax: (207) 490-5263
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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 LC4929 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC4294 (ME)

Record details

NPI number1659652022
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LADC
Sole proprietorNo
NPI enumeratedAugust 30, 2011
Last updated in NPPESJune 22, 2016

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