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

Shanice Fuller

Individual provider Social Worker · NPI 1174158901

Shanice Fuller is a Social Worker in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

2250 Holland Ave
Bronx, NY 10467-9402
Phone: (718) 798-7801
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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 109170 (NY)

Record details

NPI number1174158901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

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