Vickie Jacobs Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC12606 Issued in ME

Practice address

49 Oak St
Maine Behavioral Health Organization
Augusta, ME 04330-5118

Phone

(207) 441-8525

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1215102850
  NPD
• Maine Behavioral Health Organization

  • Community/Behavioral Health Agency
  • Skowhegan, ME
  • NPI 1992096515
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1003077629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-441-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "address_2": "MAINE BEHAVIORAL HEALTH ORGANIZATION",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-441-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "VICKIE",
        "middle_name": "JACOBS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Filitis, M.D.
• Eileen R Fingerman, MD
• Alyssa Jill Finn, MD
• Jack Finney, PHARMD
• Mary Jo Fisher, M.D.
• Heather Fitts, LSW
• Hannah Fitzgerald, P-MHNP
• Vivian Flamm, LCSW
• Terrence W Flanagan, MD
• Katherine Flanigan, CRNA

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.