Individual provider Active NPI

Faline C Fisher, L.I.S.W, C.D.C.A.

  • Clinical Social Worker
  • Mentor, OH
National Provider Identifier
1346376761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0029913 Issued in OH
Practice address
8445 Munson Rd
Mentor, OH 44060
Phone
(440) 255-1700
NPI assigned
Feb 27, 2007
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
Clinical Social Worker 1041C0700X I 0029913 OH Primary

Addresses

Primary practice location

8445 Munson Rd
Mentor, OH 44060

Mailing address

652 Quarry LN
Richmond HTS, OH 44143-2923
Phone (216) 291-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120410000080 MI Practitioner - Clinical Social Worker 1850552324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Development Centers IncGroup PAC ID 0547254443, 15 clinicians

Practice addresses (Care Compare)

24424 W McNichols
Detroit, MI 48219-3653
Phone (313) 531-2500

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
58.04
Promoting interoperability
91
Improvement activities
40
Cost
81.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0029913OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Development Centers, Inc. Clinical CurrentSince Nov 6, 2013 Accepting new patients

Locations

17421 Telegraph Rd
Detroit, MI 48219
Phone (313) 255-0900

24424 W McNichols Rd
Detroit, MI 48219
Phone (313) 255-0900

17141 Ryan Rd
Hamtramck, MI 48212
Phone (313) 369-1717

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 QUARRY LN",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441432923",
            "telephone_number": "216-291-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-255-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "FALINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W, C.D.C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0029913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.