IndividualActive
Kimberly Fuller, LISW-S
NPI 1083053375 · Clinical Social Worker · Cleveland, OH
Provider details
- NPI number
- 1083053375
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- No
- License
- S.1200645 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726
Phone: (216) 250-1607
Fax: (216) 304-6669
Street-level locationGet directions
Mailing address
3500 Lorain Ave Ste 300
Cleveland, OH 44113-3726
Additional practice locations (1)
- 11801 Buckeye RdCleveland, OH 44120-2620Phone: (216) 831-2255Fax: (216) 378-3906
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.