Rebecca Ann Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99954 Issued in CA

Practice address

2629 Ostling PL
Shasta Lake, CA 96019-2133

Phone

(530) 953-4373

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Castro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dunamis Center Incorporated

  • Mental Health Counselor
  • Redding, CA
  • NPI 1578052379
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1104128198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 OSTLING PL",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960192133",
            "telephone_number": "530-953-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 OSTLING PL",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960192133",
            "telephone_number": "530-953-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "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": "CA",
            "license": "99954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CASTRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Dilts-Waldrop
• Lisa Marie Dinubilo, PHARM. D
• James G Earle, M.P.T., C.S.C.S.
• Samantha Enzler
• Darrin Ferguson, RN
• Melodie G. Gill, FNP
• Harold S. Budhram, MD, Inc.
• Healing Currents Counseling
• Thinh Tan Hoang, PHARM.D
• Bao Ying Huynh, RPH

• Clinical Social Worker in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.