Dale Fuller, LCSW
NPI 1053472514 · Clinical Social Worker · Syracuse, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dale Fuller, LCSW is a Clinical Social Worker provider in Syracuse, NY (NPI 1053472514).
Provider details
- NPI number
- 1053472514
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- R033210 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2013-10-31
Frequently asked questions
- What is Dale Fuller's NPI number?
- Dale Fuller's National Provider Identifier (NPI) is 1053472514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Fuller's specialty?
- Dale Fuller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dale Fuller located?
- Dale Fuller's practice location on file with NPPES is 742 James Street, Syracuse, NY 13203.
- What is Dale Fuller's phone number?
- The practice phone number listed in the NPPES registry for Dale Fuller is (315) 703-2700.
- Does Dale Fuller accept Medicare?
- Dale Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dale Fuller's NPI active?
- Yes — Dale Fuller's NPI (1053472514) is active in the NPPES registry as of the last update on 2013-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.