Individual provider Active NPI

Julie Lynn Fisher, LCSW-R

  • Clinical Social Worker
  • Lake Luzerne, NY
National Provider Identifier
1356584072
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080191 Issued in NY
Practice address
2 Locarno Dr
Lake Luzerne, NY 12846-3239
Phone
(518) 396-7837
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 080191 NY Primary

Addresses

Primary practice location

2 Locarno Dr
Lake Luzerne, NY 12846-3239

Mailing address

2 Locarno Dr
Lake Luzerne, NY 12846-3239
Phone (518) 396-7837

Other identifiers 1

IdentifierTypeStateIssuer
03994052MedicaidNY

Other names 1

  • Julie L Quackenbush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141208002164 NY Practitioner - Clinical Social Worker 1052633732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

2 Locarno Dr
Lake Luzerne, NY 12846-3239
Phone (518) 831-5238

3761 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-3918

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080191NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher LCSW PLLC Clinical CurrentSince Mar 20, 2024 Accepting new patients
Hudson Headwaters Health Network CurrentSince Dec 1, 2014 Accepting new patients
Hudson Headwaters Health Network CurrentSince Dec 1, 2014 Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • Direct secure messaging: julie.fisher.1@1823.direct.athenahealth.com

Organizations & group practices 3

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1356584072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOCARNO DR",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128463239",
            "telephone_number": "518-396-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOCARNO DR",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128463239",
            "telephone_number": "518-396-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03994052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "QUACKENBUSH",
            "middle_name": "L",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Luzerne, NY

Sources for this page

Verify at the official NPI Registry.