Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1942302831 Deactivated / Inactive NPI Male Practitioner

Daniel C Fullerton , LMSW

Social Worker - Clinical • Clinton, IA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daniel Fullerton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2006
NPI Deactivation Date January 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Daniel Fullerton, LMSW was a registered Social Worker - Clinical practicing in Clinton, IA. Throughout an active medical career spanning 16 years, Daniel Fullerton provided care at the practice location at 638 S BLUFF BLVD until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

638 S Bluff Blvd

Clinton, IA 527324742

Telephone 5632435633
Associated Practice Facility / Clinic
🏢 Michael Mankarious Md Pc Facility NPI 1083606693

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Clinton, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Clinton, IA (2231 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IA 01720

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristen Swisher , RN

Registered Nurse

NPI 1003288275

Registered Nurse

Tina Budreau , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003990896

Advanced Registered Nurse Practitioner

Kiely Suhr , NCC

Social Worker

NPI 1013334267

National Certified Counselor

Nancy Brown

Registered Nurse

NPI 1023563228
NPI 1043623671

Licensed Independent Social Worker

Lindsay Demarlie , LISW

Social Worker - Clinical

NPI 1073024600

Licensed Independent Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 638 S BLUFF BLVD, CLINTON, IA 527324742 (Tel: 5632435633)

📍
Updated Business Mailing Address July 08, 2007

Registered at 638 S BLUFF BLVD, CLINTON, IA 527324742 (Tel: 5632435633)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL FULLERTON, LMSW

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

Social Worker (License #01720 in IA)

🟢
Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Daniel Fullerton. Be the first to share your experience!

Sign in to leave a review for Daniel Fullerton

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1942302831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: July 08, 2007
Deactivation Date: January 30, 2022

Mailing Address

638 S Bluff Blvd

Clinton, IA 527324742

Phone: 5632435633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.