Individual provider Active NPI

Samuel Fischler, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1154571610
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0804621 Issued in NY
Practice address
1212 York Rd
Suite A302
Lutherville, MD 21093-6240
Phone
(443) 693-7228
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18875 MD
Clinical Social Worker 1041C0700X 0804621 NY Primary

Addresses

Primary practice location

1212 York Rd
Suite A302
Lutherville, MD 21093-6240

Mailing address

6514 Edenvale Rd
Baltimore, MD 21209-2721
Phone (443) 388-6268

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18875MDMDClinical Social Worker
0804621NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1154571610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 EDENVALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092721",
            "telephone_number": "443-388-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD",
            "address_2": "SUITE A302",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936240",
            "telephone_number": "443-693-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHLER",
        "first_name": "SAMUEL",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0804621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.