Individual provider Active NPI

David Bernard Fisher, MSW

  • Social Worker
  • Novi, MI
National Provider Identifier
1316143076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801060429 Issued in MI
Practice address
23965 Novi Rd
Suite 110
Novi, MI 48375-3231
Phone
(248) 344-7420
Fax
(248) 344-7423
NPI assigned
Jun 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 6801060429 MI Primary

Addresses

Primary practice location

23965 Novi Rd
Suite 110
Novi, MI 48375-3231

Mailing address

23965 Novi Rd
Suite 110
Novi, MI 48375-3231
Phone (248) 344-7420

Other identifiers 2

IdentifierTypeStateIssuer
512497OtherMIVALUE OPTIONS
8008968690OtherMIBC PIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
Senior Counseling Services, LLC PastSince Dec 13, 2020 Accepting new patients
Bobbi Ebsen Psychotherapy LLC Past Accepting new patients
Northbrook Psychological Clinic PLC PastSince Oct 9, 2002 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316143076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23965 NOVI RD",
            "address_2": "SUITE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753231",
            "telephone_number": "248-344-7420",
            "fax_number": "248-344-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23965 NOVI RD",
            "address_2": "SUITE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753231",
            "telephone_number": "248-344-7420",
            "fax_number": "248-344-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DAVID",
        "middle_name": "BERNARD",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801060429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "512497",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PIN",
            "identifier": "8008968690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

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.

Verify at the official NPI Registry.