Garth E Fisher

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2000-123 Issued in WI

Practice address

15 W Milwaukee St
Suite 207
Janesville, WI 53548-2998

Phone

(608) 755-1475

Fax

(608) 755-1733

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stateline Mental Health ServicesGroup PAC ID 1658655865, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stateline Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beloit, WI
  • NPI 1538560255

  Clinical

  Medicare reassignment Care Compare group NPD
• Counseling Solutions LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1780737288
  NPD (past)
• Janesville Psychiatric Clinic

  • Clinical Medical Laboratory
  • Janesville, WI
  • NPI 1619311321
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1104915248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 207",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MILWAUKEE ST",
            "address_2": "SUITE 207",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482998",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "GARTH",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2000-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39509200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Feuerstein, DPM
• Angelic M Ficker, RN, RCS
• Susan E Fischer, RD
• Debbie Lynne Fish, RN
• Corlotta R Fisher, LCSW
• James G. Fitzgibbon, PA C
• Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Huntington)
• Deena Kingery Fleener, PTA
• Robert Louis Fleming, DDS
• Senders Florvil, MD

• Clinical Social Worker in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.