Jerry Fuller, LCSW
NPI 1801953716 · Clinical Social Worker · Bloomfield, NJ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Fuller, LCSW is a Clinical Social Worker provider in Bloomfield, NJ (NPI 1801953716).
Provider details
- NPI number
- 1801953716
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 44SC05222700 (NJ)
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
- 2007-01-02
- Last updated
- 2009-02-02
Frequently asked questions
- What is Jerry Fuller's NPI number?
- Jerry Fuller's National Provider Identifier (NPI) is 1801953716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Fuller's specialty?
- Jerry Fuller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jerry Fuller located?
- Jerry Fuller's practice location on file with NPPES is 31 North Ave, Bloomfield, NJ 07003-5516.
- What is Jerry Fuller's phone number?
- The practice phone number listed in the NPPES registry for Jerry Fuller is (973) 338-8530.
- Does Jerry Fuller accept Medicare?
- Jerry Fuller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Fuller's NPI active?
- Yes — Jerry Fuller's NPI (1801953716) is active in the NPPES registry as of the last update on 2009-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.