Mrs Fatimaah D Brown-fullilove, LSW, LICDC is a
Social Worker - Clinical based in Mentor, Ohio. Mrs Fatimaah D Brown-fullilove is licensed to practice in Ohio (license number S.2106096) and her current practice location is
7232 Justin Way, Mentor, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 578-8200.
NPI number for Mrs Fatimaah D Brown-fullilove is 1003329228 and her current mailing address is 7232 Justin Way, Mentor, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003329228.
Healthcare Provider's Profile
Full Name | Mrs Fatimaah D Brown-fullilove |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7232 Justin Way, Mentor, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003329228
- Provider Enumeration Date: 11/09/2017
- Last Update Date: 11/01/2023
Medical Identifiers
Medical identifiers for Mrs Fatimaah D Brown-fullilove such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003329228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 162016 (Ohio) | Secondary |
104100000X | Social Worker | 2106096 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | S.2106096 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Fatimaah D Brown-fullilove is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Fatimaah D Brown-fullilove, LSW, LICDC 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 | Mrs Fatimaah D Brown-fullilove, LSW, LICDC 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200 |
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