Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wadiah Fuller, LICSW

Individual provider Clinical Social Worker · NPI 1205202785

Wadiah Fuller, LICSW is a Clinical Social Worker in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1200 First Street NE 9th Fl
Washington, DC 20002 Not confirmed with CMS for 11 years — call before visiting
Phone: (202) 251-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50078331 (DC)

Record details

NPI number1205202785
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 19, 2015

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