Individual provider Active NPI

Lawrence Raymond Fishel, PH.D., LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1386672871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07205 Issued in MD
Practice address
110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone
(410) 583-2222
Fax
(410) 583-2377
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

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 07205 MD Primary

Addresses

Primary practice location

110 E Pennsylvania Ave
Towson, MD 21286-5118

Mailing address

110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone (410) 583-2222

Other identifiers 1

IdentifierTypeStateIssuer
124221100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120105000019 MD Practitioner - Clinical Social Worker 0143388314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fishel, Watson, and Lemaire PAGroup PAC ID 0547225237, 5 clinicians

Practice addresses (Care Compare)

110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone (410) 583-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Fishel, Watson, & Lemaire PA Clinical CurrentSince Aug 3, 1993 Accepting new patients
Fishel, Watson and Lemaire, P.a. Clinical CurrentSince Jan 26, 2020 Accepting new patients

Locations

110 E Pennsylvania Ave
Towson, MD 21286
Phone (410) 583-2222

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386672871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865118",
            "telephone_number": "410-583-2222",
            "fax_number": "410-583-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865118",
            "telephone_number": "410-583-2222",
            "fax_number": "410-583-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "LAWRENCE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124221100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.