Individual provider Active NPI

Mary Anne Fisher, LSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1295716595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CWO15523 Issued in PA
Practice address
330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358
Phone
(412) 488-4040
Fax
(412) 488-4932
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CWO15523 PA Primary

Addresses

Primary practice location

330 9TH St
South 9TH Street Center
Pittsburgh, PA 15215-2358

Mailing address

1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone (412) 323-8026

Other identifiers 1

IdentifierTypeStateIssuer
1327461OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20070419000448 PA Practitioner - Clinical Social Worker 0446355416 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3757 Library Rd
Suite 200
Pittsburgh, PA 15234-2271
Phone (412) 760-1254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CWO15523PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy Associates 4 PastSince May 12, 2024 Accepting new patients
Jefferson Regional Medical Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295716595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "412-323-8026",
            "fax_number": "412-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "address_2": "SOUTH 9TH STREET CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152152358",
            "telephone_number": "412-488-4040",
            "fax_number": "412-488-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARY ANNE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CWO15523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1327461",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.