Vicki Genelle Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017161 Issued in PA

Practice address

1670 Clairmont Road
Decatur, GA 30033

Phone

(404) 417-1540

NPI assigned

Dec 23, 2013

Last updated

Dec 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southbridge Medical Advisory Council IncGroup PAC ID 8426967928, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southbridge Medical Advisory Council Inc

  dba Henrietta Johnson Medical Center

  • Federally Qualified Health Center (FQHC)
  • Wilmington, DE
  • NPI 1770699621
  Medicare reassignment Care Compare group
• Essential Awareness LLC

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1851149124
  Authorized official Same address or phone

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1255752952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MYRTLE AVE",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190702049",
            "telephone_number": "610-931-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "404-417-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "VICKI",
        "middle_name": "GENELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Medical Care Inc
• Firststop Medical Clinic LLC
• Keith F Fishe, O.D.
• Jayanthi Chawan Fisher, D.M.D.
• Melanie C Fisher, APRN- CNS
• Diane Marie Fisk, PA-C
• Fitly Spoken, LLC
• Linda Shelling Fitzgerald, PT
• Emily Fitzpatrick, LPC
• FJS Radiation Oncology Inc (Atlanta Radiation Oncology)

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

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