Active NPI
Lucy Fisher, MSW
- Social Worker
- Waltham, MA
National Provider Identifier
1487906533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 218210
- Practice address
- 1430 Main St
Waltham, MA 02451-1623 - Phone
- (781) 647-5327
- NPI assigned
- Oct 12, 2012
- Reactivated
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 218210 | MA | Primary |
Addresses
Primary practice location
1430 Main St
Waltham, MA 02451-1623
Mailing address
1430 Main St
Waltham, MA 02451-1623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218210 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1487906533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623",
"telephone_number": "781-647-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "LUCY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"deactivation_date": "2020-07-22",
"reactivation_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "218210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.