Jeanine M Fischer PHD LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEANINE M FISCHER PHD LCSW PC

Practice address

68 W Main St Ste 9
Oyster Bay, NY 11771-2238

Phone

(516) 624-3490

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Jeanine FischerNPI 1891859765

Title

Owner

Phone

(516) 624-3490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanine Marie Fischer, LCSW

  • Clinical Social Worker
  • Oyster Bay, NY
  • NPI 1891859765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1497459945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W MAIN ST STE 9",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712238",
            "telephone_number": "516-624-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W MAIN ST STE 9",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712238",
            "telephone_number": "516-624-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE M FISCHER PHD LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-624-3490"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Hickey, LCSW-R
• Holistic Services of New York
• Stephen Hom, D.O.
• Sharon Maria Hylton
• Jason Adam Jampol, D.C.
• Samantha Joachim
• John a Reyes MD PC
• Eunice P Jones
• Natalie Amy Jovic, RN
• Joy of Acupuncture, PLLC

• Clinical Social Worker in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.