Active NPI
Casey Jane Fish, LLMSW
- Clinical Social Worker
- Ypsilanti, MI
National Provider Identifier
1023895166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851120071
- Practice address
- 224 S Adams St Apt 1
Ypsilanti, MI 48197-5572 - Phone
- (586) 899-4653
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 6851120071 | MI | Primary |
Addresses
Primary practice location
224 S Adams St Apt 1
Ypsilanti, MI 48197-5572
Mailing address
224 S Adams St Apt 1
Ypsilanti, MI 48197-5572
Phone (586) 899-4653
Other names 1
- Elliot Jane Fish
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851120071 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Well-Being Services | Past | Accepting new patients | |
| Adult Well Being Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
-
- Psychiatry Physician
- Detroit, MI
- NPI 1679663546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1023895166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 S ADAMS ST APT 1",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975572",
"telephone_number": "586-899-4653",
"fax_number": "586-899-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S ADAMS ST APT 1",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481975572",
"telephone_number": "586-899-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "CASEY",
"middle_name": "JANE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851120071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIOT",
"last_name": "FISH",
"middle_name": "JANE",
"credential": "LLMSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.