Chuck Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23597 Issued in CA

Practice address

16401 San Pablo Ave.
Spc335
San Pablo, CA 94806-1325

Phone

(510) 325-5708

NPI assigned

Mar 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Charles Williamm Fishbein Former 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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1427857598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 SAN PABLO AVE.",
            "address_2": "SPC335",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061325",
            "telephone_number": "510-325-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 SAN PABLO AVE.",
            "address_2": "SPC335",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061325",
            "telephone_number": "510-325-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "FISHBEIN",
            "middle_name": "WILLIAMM",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Fernandez
• Janik Ferreira - Ward
• Victoria Fidel, RAS
• Michael Dennis Fidler, M.D.
• Shanda Fields
• Eric Jonathan Fitzmedrud, PH.D.
• Fatimah Easter Flynt, LVN
• Janeann Fontenot
• Matthew Steven Fore, MD
• Julie Formica

• Clinical Social Worker in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.