DONNA FASULLO LCSW NPI 1326006735

NPI Information

  • NPI: 1326006735
  • Provider Name: DONNA FASULLO, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 3027 MARINA BAY DR
    SUITE 110
    LEAGUE CITY, TX
    ZIP 77573
  • Phone: (713) 687-7644

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NPI Details

Donna Fasullo, LCSW is a clinical social worker in League City, TX. The provider is 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. Donna Fasullo, LCSW NPI is 1326006735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3027 MARINA BAY DR
SUITE 110
LEAGUE CITY, TX
ZIP 77573-729
Phone: (713) 687-7644
Fax: (281) 240-6481

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical1041C0700XTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100S03POTHERTEXASBC/BS
2124104401MEDICAIDTEXAS
300S03PMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE
4146355602MEDICAIDTEXAS
58800K9MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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