Individual provider Active NPI

Brianna Fisher

  • Clinical Social Worker
  • Crawfordsville, IN
National Provider Identifier
1356080816
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009678A Issued in IN
Practice address
1480 Darlington Ave
Crawfordsville, IN 47933-2007
Phone
(765) 362-2852
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 34009678A IN Primary

Addresses

Primary practice location

1480 Darlington Ave
Crawfordsville, IN 47933-2007

Mailing address

415 N 26TH St Ste 102
Lafayette, IN 47904-2855
Phone (765) 446-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220616001308 IN Practitioner - Clinical Social Worker 4486033784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009678AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Apr 6, 2022 Accepting new patients
Valley Oaks Health Inc CurrentSince Apr 6, 2022 Accepting new patients

Locations

1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852

415 N 26th St
Ste 102
Lafayette, IN 47904
Phone (765) 446-6535

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1356080816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 102",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042855",
            "telephone_number": "765-446-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 DARLINGTON AVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332007",
            "telephone_number": "765-362-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009678A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.