Individual provider Active NPI

Abby Fischer

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1376905927
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1600661 Issued in OH
Practice address
132 S Market St Ste 205
Wooster, OH 44691-4765
Phone
(330) 234-2719
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 I1600661 OH Primary

Addresses

Primary practice location

132 S Market St Ste 205
Wooster, OH 44691-4765

Mailing address

132 S Market St Ste 205
Wooster, OH 44691-4765
Phone (330) 227-1713

Other practice location 1

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171019001579 OH Practitioner - Clinical Social Worker 5890061840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1600661OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminate Mental Health, LLC Clinical CurrentSince Dec 8, 2025 Accepting new patients
Christian Children'S Home of Ohio CurrentSince Jun 22, 2021 Accepting new patients

Locations

132 S Market St
Ste 205
Wooster, OH 44691
Phone (330) 227-8115

2685 Armstrong Rd
Wooster, OH 44691
Phone (330) 345-7949

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1376905927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MARKET ST STE 205",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914765",
            "telephone_number": "330-227-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S MARKET ST STE 205",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914765",
            "telephone_number": "330-234-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Armstrong Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919041",
            "country_code": "US",
            "telephone_number": "330-345-7949",
            "fax_number": "330-345-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1600661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.