Organization Active NPI

Laura Fishman, LMSW, PC

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1407125115
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077690 Issued in MI
Legal business name
LAURA FISHMAN, LMSW, PC
Practice address
3910 Telegraph Rd
Suite 202
Bloomfield Hills, MI 48302-1420
Phone
(248) 686-0339
NPI assigned
Dec 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Authorized official

Name
Laura D. Fishman, LMSW, ACSW
Title
President/Psychotherapist
Phone
(248) 686-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801077690 MI Primary

Addresses

Primary practice location

3910 Telegraph Rd
Suite 202
Bloomfield Hills, MI 48302-1420

Mailing address

3910 Telegraph Rd
Suite 202
Bloomfield Hills, MI 48302-1420
Phone (248) 686-0339

National Provider Directory

National Provider Directory

Locations

3910 Telegraph Rd
Ste 202
Bloomfield Hills, MI 48302
Phone (248) 535-2933

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1407125115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 TELEGRAPH RD",
            "address_2": "SUITE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021420",
            "telephone_number": "248-686-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 TELEGRAPH RD",
            "address_2": "SUITE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021420",
            "telephone_number": "248-686-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA FISHMAN, LMSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-686-0339",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.