Individual
TESSA FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
408 3RD ST STE 107, FARMINGTON, MN 55024-1355
(651) 252-4025
(651) 390-6136
Mailing address
408 3RD ST STE 107, FARMINGTON, MN 55024-1355
(507) 649-2507
(651) 661-4168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26216
MN
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780389189
NPI 2
MN
Enumeration date
04/02/2018
Last updated
10/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us