Individual provider Active NPI

Melanie L Fisher, LCSW

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1366627705
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8840 Issued in FL
Practice address
125 S Swoope Ave Ste 110
Maitland, FL 32751-5784
Phone
(407) 622-0444
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW8840 FL
Clinical Social Worker 1041C0700X SW8840 FL Primary

Addresses

Primary practice location

125 S Swoope Ave Ste 110
Maitland, FL 32751-5784

Mailing address

58 Jett Loop
Apopka, FL 32712-2396
Phone (407) 247-9009

Other identifiers 1

IdentifierTypeStateIssuer
122178400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230425000880 FL Practitioner - Clinical Social Worker 2466817572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adapt Behavioral Services, Inc.Group PAC ID 6305986894, 2 clinicians

Practice addresses (Care Compare)

125 S Swoope Ave
Suite 110
Maitland, FL 32751-5784
Phone 4076220444513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Behavioral Services, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Healing Solutions Family Counseling LLC Clinical Past Accepting new patients

Locations

225 S Swoope Ave
Ste 211
Maitland, FL 32751
Phone (407) 622-0444

125 S Swoope Ave
Ste 110
Maitland, FL 32751
Phone (407) 622-0444

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1366627705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 JETT LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122396",
            "telephone_number": "407-247-9009",
            "fax_number": "888-972-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S SWOOPE AVE STE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515784",
            "telephone_number": "407-622-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MELANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW8840",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122178400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.