Individual provider Active NPI

Brandy Lachelle Thompson-Fisher, LCSW

  • Clinical Social Worker
  • Williamsport, PA
National Provider Identifier
1407183890
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016393 Issued in PA
Practice address
123 Valley Heights Dr
Williamsport, PA 17701-1924
Phone
(570) 651-9087
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 CW016393 PA Primary

Addresses

Primary practice location

123 Valley Heights Dr
Williamsport, PA 17701-1924

Mailing address

123 Valley Heights Dr
Williamsport, PA 17701-1924
Phone (570) 651-9087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150330001875 SC Practitioner - Clinical Social Worker 5698092773 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Community Health CareGroup PAC ID 8628227667, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

110 Liberty Dr
Clemson, SC 29631-3157
Phone 864722028323206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW016393PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Community Health Care, Inc CurrentSince Nov 1, 2021 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Foothills Community Health Care, Inc CurrentSince Nov 1, 2021 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Foothills Community Health Care, Inc. Past Accepting new patients

Locations

302 Pearman Dairy Rd
Ste C1
Anderson, SC 29625
Phone (864) 224-0822

110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283

403 Hillcrest Dr
Easley, SC 29640
Phone (864) 343-1220

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

Interoperability endpoints

  • Direct secure messaging: brandy.thompson-fisher.1@30137.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1407183890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 VALLEY HEIGHTS DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011924",
            "telephone_number": "570-651-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 VALLEY HEIGHTS DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011924",
            "telephone_number": "570-651-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-FISHER",
        "first_name": "BRANDY",
        "middle_name": "LACHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.