Individual provider Active NPI

Rachel Fisher Althizer, LCSW-A

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1467084178
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012672 Issued in NC
Practice address
3886 Henderson Dr
Jacksonville, NC 28546-5219
Phone
(910) 938-9833
Fax
(910) 938-9835
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 P012672 NC Primary

Addresses

Primary practice location

3886 Henderson Dr
Jacksonville, NC 28546-5219

Mailing address

3328 Bridges St Ste a
Morehead City, NC 28557-3262

Other practice location 1

3328 Bridges St Ste A
Morehead City, NC 28557-3262
Phone (252) 670-0320

Other names 1

  • Rachel Lynn Fisher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P012672NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southmountain Children and Family Services Clinical CurrentSince Feb 16, 2020 Accepting new patients

Locations

3328 Bridges St
Ste A
Morehead City, NC 28557
Phone (252) 670-0320

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1467084178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 BRIDGES ST STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465219",
            "telephone_number": "910-938-9833",
            "fax_number": "910-938-9835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3328 Bridges St Ste A",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573262",
            "country_code": "US",
            "telephone_number": "252-670-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTHIZER",
        "first_name": "RACHEL",
        "middle_name": "FISHER",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FISHER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.