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Cornelius Fuller , LBSW

Social Worker β€’ Dearborn, MI

Active NPI 1669686853 Individual Practitioner Male Practitioner
Practice location in NPPES

1 Parklane Blvd Ste 200e
Dearborn, MI 481262400

Call 3138462606 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

1 Parklane Blvd Ste 200e

Dearborn, MI 481262400

Telephone 3138462606
Organization at the Same NPPES Address or Phone
Psygenics Inc Facility NPI 1669736104

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Detroit, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

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

Compared with the same specialty in Dearborn and Michigan

109 active clinicians are listed under Social Worker with a practice address in Dearborn, MI (9,122 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn

4.6% of these 109 clinicians have the CMS telehealth indicator.

8.3% of these 109 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: 2025-02-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MI 6802033061

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

3011 W Grand Blvd

Detroit, MI 482023096

Phone: 3132632456

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Baljit Singh

Nurse Practitioner - Psychiatric/Mental Health

NPI 1487045837

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location February 12, 2025

Registered at 1 PARKLANE BLVD STE 200E, DEARBORN, MI 481262400 (Tel: 3138462606)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3011 W GRAND BLVD, DETROIT, MI 482023096 (Tel: 3132632456)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3800 WOODWARD AVE, STE 600, DETROIT, MI 482012061

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CORNELIUS FULLER, LBSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (license number reported to NPPES: MI 6802033061)

🟒
Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669686853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: February 12, 2025
Sole Proprietor: No

Other Social Workers in Dearborn

Healthcare providers in Dearborn

Mailing Address

3800 Woodward Ave, Ste 600

Detroit, MI 482012061

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.