Ellen Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

129226 Issued in CA

Practice address

2048 Dunlap Dr Ste 8
South Lake Tahoe, CA 96150-6450

Phone

(530) 205-3622

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1447094560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550671",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961550671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 DUNLAP DR STE 8",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506450",
            "telephone_number": "530-205-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Ferraro, D.P.M.
• Fibromyalgia Relief Center of Lake Tahoe
• Wyatt H Fiddyment
• Danielle Theresa Field, NP
• Valerie Marie Finnigan, RN, PHN
• Melissa Fisk
• Carey Fitzpatrick Galles, M.S., CCC-SLP
• Maria Angie Flores
• Angela Kay Fluitt, OTR/L, CHT
• Traci Linn Fogliani-Kennedy, SLP

• Clinical Social Worker in South Lake Tahoe, CA
• Providers in South Lake Tahoe, 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 21, 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.