Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669686853 Individual Practitioner Male Practitioner

Cornelius Fuller , LBSW

Social Worker • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Cornelius Fuller, LBSW is a registered healthcare professional specializing in Social Worker in Dearborn, MI. Practice services are available at 1 PARKLANE BLVD STE 200E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Parklane Blvd Ste 200e

Dearborn, MI 481262400

Telephone 3138462606
Associated Practice Facility / Clinic
🏢 Psygenics Inc Facility NPI 1669736104

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
111 Specialists

Practicing in Dearborn, MI (9360 Statewide)

Telehealth Adoption Rate
4.5% 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

CMS Verified: 2025-02-12
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6802033061

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

3011 W Grand Blvd

Detroit, MI 482023096

Phone: 3132632456

Practice Associates & Co-Workers

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

40 Associated Practitioners
Phoenix Greenwood-Haller

Counselor - Mental Health

NPI 1003478256
Breanna Wise

Student in an Organized Health Care Education/Training Program

NPI 1013722552
NPI 1013740240

Master of Arts, TLLP

April Garner , LLMSW

Social Worker - Clinical

NPI 1043097280

Limited Licensed Master Social Worker

Jayde Cloud

Social Worker

NPI 1043195688
Shyla Johnson

Occupational Therapist

NPI 1104784354

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 12, 2025

Registered at 1 PARKLANE BLVD STE 200E, DEARBORN, MI 481262400 (Tel: 3138462606)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3011 W GRAND BLVD, DETROIT, MI 482023096 (Tel: 3132632456)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3800 WOODWARD AVE, STE 600, DETROIT, MI 482012061

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CORNELIUS FULLER, LBSW

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

Social Worker (License #6802033061 in MI)

🟢
Initial NPI Registration & Enumeration May 09, 2007

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 Cornelius Fuller. Be the first to share your experience!

Sign in to leave a review for Cornelius Fuller

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

NPI Administrative Meta

NPI Number: 1669686853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: February 12, 2025
Sole Proprietor: No

Mailing Address

3800 Woodward Ave, Ste 600

Detroit, MI 482012061

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.