Deborah Karen Fisch-Lewis

Primary specialty

Social WorkerTaxonomy code 104100000X

License

090012 Issued in NY

Practice address

101 Elmwood Ave
Ithaca, NY 14850-6146

Phone

(607) 339-1479

NPI assigned

Aug 23, 2012

Last updated

Apr 21, 2014By the provider in NPPES

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

Other names 1

• Deborah K Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1003164047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ELMWOOD AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506146",
            "telephone_number": "607-339-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELMWOOD AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148506146",
            "telephone_number": "607-339-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH-LEWIS",
        "first_name": "DEBORAH",
        "middle_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "LEWIS",
            "middle_name": "K",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.