Tessa Fultz, LICSW
NPI 1568968204 · Social Worker · Farmington, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tessa Fultz, LICSW is a Social Worker provider in Farmington, MN (NPI 1568968204).
Provider details
- NPI number
- 1568968204
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
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
8 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Additional practice locations (1)
- 1919 Broadway St NeMinneapolis, MN 55413-1251Phone: (651) 252-4025
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Frequently asked questions
- What is Tessa Fultz's NPI number?
- Tessa Fultz's National Provider Identifier (NPI) is 1568968204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tessa Fultz's specialty?
- Tessa Fultz is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Tessa Fultz located?
- Tessa Fultz's practice location on file with NPPES is 408 3rd St Ste 107, Farmington, MN 55024-1355.
- What is Tessa Fultz's phone number?
- The practice phone number listed in the NPPES registry for Tessa Fultz is (651) 252-4025.
- Does Tessa Fultz accept Medicare?
- Tessa Fultz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tessa Fultz's NPI active?
- Yes — Tessa Fultz's NPI (1568968204) is active in the NPPES registry as of the last update on 2024-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.