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Alexis Fuller , LCSW

Social Worker β€’ Chicago, IL

Active NPI 1679269153 Individual Practitioner Female Practitioner
Practice location in NPPES

1130 S Canal St
Chicago, IL 606075058

Call 5204871975 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1130 S Canal St

Chicago, IL 606075058

Telephone 5204871975
Organization at the Same NPPES Address or Phone
Wellnite Medical Group Pa Facility NPI 1942938493

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Alexis Fuller as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

1,284 active clinicians are listed under Social Worker with a practice address in Chicago, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.9% of these 1,284 clinicians have the CMS telehealth indicator.

3% of these 1,284 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-11
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IL 149031797

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 11, 2026

Registered at 1130 S CANAL ST, CHICAGO, IL 606075058 (Tel: 5204871975)

πŸ“
Updated Business Mailing Address July 11, 2026

Registered at 4115 W AERIE DR, TUCSON, AZ 857412408 (Tel: 7027526837)

πŸ‘€
Provider Name / Credentials Updated July 11, 2026

Recorded as ALEXIS FULLER, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2026

Social Worker (license number reported to NPPES: IL 149031797)

βœ…
NPI Profile Active April 25, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 25, 2023

Registered at 312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 852244354 (Tel: 6233005800)

πŸ“
Business Mailing Address (Initial Record) April 25, 2023

Registered at PO BOX 41501, PHOENIX, AZ 850801501 (Tel: 7027526837)

πŸ‘€
Provider Name / Credentials (Initial Record) April 25, 2023

Recorded as ALEXIS FULLER, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2023

Social Worker (license number reported to NPPES: AZ 21253)

🟒
Initial NPI Registration & Enumeration April 17, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679269153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2023
Last Update: July 11, 2026
Sole Proprietor: Yes

Other Social Workers in Chicago

All Social Workers in Chicago

Mailing Address

4115 W Aerie Dr

Tucson, AZ 857412408

Phone: 7027526837

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.