Mark Fuller, LCSW, SAC, ICS,
Clinical Social Worker · Keshena, WI
Mark Fuller, LCSW, SAC, ICS, is a clinical social worker with a practice address in Keshena, Wisconsin, and NPI 1780859744, issued on Apr 29, 2008. Check the license (Wisconsin 3082-123, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mark Fuller
- Credential
- LCSW, SAC, ICS,
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 3082-123 WI
Self-reported in NPPES; status is on the state search - Practice location
- W3275 Wolf River Road, Keshena, WI 54135
- Phone
- (715) 799-5451
- Enumerated
- Apr 29, 2008
- Entity
- Type 1 · individual
Also registered at W3275 Wolf River Road
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Peggy Bevernitz, P.T.Physical Therapist1285675496
- Mary Callis, MDFamily Medicine Physician1730334020
- Michael Carlson, D.D.S.General Practice Dentistry1760424832
- Matthew Charging, D.D.S.General Practice Dentistry1407236359
- Robert Chelberg, O.D.Optometrist1225033137
- John Culhane, M.D.Family Medicine Physician1780624395
Verify Mark Fuller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3082-123Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
1 clinical social worker records list a Keshena practice address
They are 1 of the 58 NPPES records with a Keshena practice address, and 3,595 clinical social worker records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other clinical social worker records in Wisconsin
- Kathryn Aalto, LCSWKenosha, WI1023193737
- S. Aardappel, MSWSheboygan, WI1235394834
- Sheena Abbitt, CSWDarlington, WI1679899728
- Amy Abel, APSWWausau, WI1649686445
- Cassandra Abel, MSWElkhorn, WI1295155166
- Faye Abler, LCSWBrookfield, WI1366540163
- Queen Liza Aboyah, APSWMadison, WI1023843646
- Barbara Abrams, MSW ICSWMilwaukee, WI1770608093
- Rebecca Abrams, LCSWWauwatosa, WI1710420815
- Maya Abu AliMilwaukee, WI1336936186
Common questions
What is Mark Fuller, LCSW, SAC, ICS,'s NPI number?
Mark Fuller, LCSW, SAC, ICS,'s National Provider Identifier (NPI) is 1780859744, issued on Apr 29, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Mark Fuller, LCSW, SAC, ICS, located?
The NPPES record lists a practice address at W3275 Wolf River Road, Keshena, WI, 54135. Phone: (715) 799-5451. Providers update this record themselves, so call before visiting.
How can I verify Mark Fuller, LCSW, SAC, ICS,'s license?
NPPES lists Wisconsin license number 3082-123, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.