IndividualActive
Fatimaah Fullilove, LSW, LICDC
NPI 1003329228 · Clinical Social Worker · Mentor, OH
Provider details
- NPI number
- 1003329228
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW, LICDC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 162016 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
Street-level locationGet directions
Mailing address
7232 Justin Way
Mentor, OH 44060-4881
Additional practice locations (1)
- 1400 E 55th StCleveland, OH 44103-1304Phone: (216) 391-6672Fax: (216) 431-4601
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.