Active NPI
Cynthia Lynn Fischer, LCSW
- Clinical Social Worker
- Port Jeff Sta, NY
National Provider Identifier
1235278755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 041201
- Practice address
- 55 Nesconset Hwy
Port Jeff Sta, NY 11776 - Phone
- (631) 472-5998
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 041201 | Primary |
Addresses
Primary practice location
55 Nesconset Hwy
Port Jeff Sta, NY 11776
Mailing address
205L Spring Meadow Dr
Holbrook, NY 11741
Phone (631) 472-6478
Other names 1
- Cynthia Fischer
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041201 | NY | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Psychiatry, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cognitive & Behavioral Psychologist
- Port Jefferson, NY
- NPI 1609249754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235278755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205L SPRING MEADOW DR",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741",
"telephone_number": "631-472-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NESCONSET HWY",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "11776",
"telephone_number": "631-472-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "041201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "FISCHER",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Port Jeff Sta, NY
Sources for this page
- 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.