Eleanor Ruth Fisher, PSY D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P01069 Issued in MA

Practice address

16 Deer Cove St
Lynn, MA 01902-3120

Phone

(781) 595-1059

Fax

(781) 842-0580

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Eleanor Ruth Fink Former 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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073689931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEER COVE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023120",
            "telephone_number": "781-595-1059",
            "fax_number": "781-842-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEER COVE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023120",
            "telephone_number": "781-595-1059",
            "fax_number": "781-842-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ELEANOR",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "P01069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "FINK",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "credential": "PSY D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Fink
• Traci Beth Fink
• Susan E Finnegan, RN
• Maureen Ann Fiore, L.S.W.
• Nicole Fisco
• Lauren A Fisher, DPM
• Eileen R Fisk, M.D.
• Loryn Eleanor Fitch
• Lauren M Fitzpatrick
• Sylvia Fitzpatrick

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.