Mary Beth E Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010040968 Issued in MO

Practice address

4010 W 59TH St
Fairway, KS 66205-3101

Phone

(913) 722-0117

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nary E Fisher Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1386934784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W 59TH ST",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662053101",
            "telephone_number": "913-722-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 59TH ST",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662053101",
            "telephone_number": "913-722-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARY BETH",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010040968",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARY",
            "last_name": "FISHER",
            "middle_name": "E",
            "credential": "LSCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Drake, LSCSW
• Katherine E Dwyer, RD, LD, MS
• Jaime Coulson Eckrich, LCAC
• Fairway Eye Center, Inc
• Samantha Annette Fikru, FNP-C
• Four B Corp
• Anne Baldwin Grant, AU.D.
• Tedene Halliwell, RPH
• Matthew Moser Hastings, M.D.
• Catherine Hoff, RN, HEALTH COACH

• Clinical Social Worker in Fairway, KS
• Providers in Fairway, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.