Randall Fisher, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015682 Issued in MA

Practice address

120 South St
Pittsfield, MA 01201-6110

Phone

(413) 499-0100

NPI assigned

Sep 27, 2006

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Michael J Williams, DMD, PC

  • Periodontics
  • Pittsfield, MA
  • NPI 1255463691
  NPD (past)
• Michael J Williams, DMD, PC

  • Periodontics
  • Pittsfield, MA
  • NPI 1598774218
  NPD (past)
• Siracusa Associates Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Williamstown, MA
  • NPI 1629529011
  NPD (past)
• Veronica Deyeso MD PC

  • Gastroenterology Physician
  • Pittsfield, MA
  • NPI 1225315948
  NPD (past)
• Williamstown Behavioral Health Associates

  dba Sullivan Associates Behavioral Health

  • Psychologist
  • North Adams, MA
  • NPI 1417023672
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1093806564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016110",
            "telephone_number": "413-499-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "543688000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE PROVIDER NUMBER",
            "identifier": "32270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDEMITY NUMBER",
            "identifier": "PO4602",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MANAGED CARE NUMBER",
            "identifier": "PP0394",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah A Firth, DO
• Daisy Fischer, M.D.
• Katherine Fischer, M.A., M.S., PSY.D.
• Leslie J Fishbein, M.D.
• Karen A. Fisher, LADC1
• Gerald Fishman
• Taylor Marie Fiske I
• Michael Fitzgerald
• Christa M Flaherty, MSW, LICSW
• Amelia Anne Fleck, P.T.

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, 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 Mar 26, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.