| Kristin Swaffer Fuller, LCSW | |
|
4482 Commerce Dr, Suite 101, Buford, GA 30518-7512 | |
| (678) 463-3905 | |
| Not Available |
| Full Name | Kristin Swaffer Fuller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4482 Commerce Dr, Buford, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164513115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003674 (Georgia) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Swaffer Fuller, LCSW 1344 Maple Bend Trl, Lawrenceville, GA 30043-5270 Ph: (678) 463-3905 | Kristin Swaffer Fuller, LCSW 4482 Commerce Dr, Suite 101, Buford, GA 30518-7512 Ph: (678) 463-3905 |
Sandra Corbin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Buford Hwy Ste G7, Buford, GA 30518 Phone: 404-583-3308 Fax: 770-995-1959 | |
Mrs. Maureen Sullivan Bixler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6424 Blue Water Dr, Buford, GA 30518 Phone: 404-432-2113 | |
Laura Lynn Patrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 359 Peevy St, Buford, GA 30518 Phone: 770-271-4050 | |
Mrs. Stephanie Branom, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2274 Lake Cove Ct, Buford, GA 30519 Phone: 972-465-0224 | |
Tara Opara, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4186 Ozark Trl, Buford, GA 30518 Phone: 678-232-2968 | |
Natalie Milom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2070 Buford Hwy Ste 1b, Buford, GA 30518 Phone: 678-829-5985 |