Active NPI
Rose Fischkes, LCSW
- Clinical Social Worker
- Canoga Park, CA
National Provider Identifier
1518044908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS16581
- Practice address
- 21201 Victory Blvd
Canoga Park, CA 91303 - Phone
- (818) 802-8121
- Fax
- (818) 883-4335
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS16581 | CA | Primary |
Addresses
Primary practice location
21201 Victory Blvd
Canoga Park, CA 91303
Mailing address
20628 De Forest St
Woodland Hills, CA 91364-2403
Phone (818) 802-8121
Other practice location 1
16944 Ventura Blvd
Encino, CA 91316-4144
Phone (818) 802-8121
Other names 1
- Rose Fischkes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071128000311 | CA | Practitioner - Clinical Social Worker | 8921197005 | Practice locations: Canoga Park, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21201 Victory Blvd
Suite 200
Canoga Park, CA 91303-2866
Phone (818) 802-8121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16581 | CA | MD | Professional Counselor |
| LCS16581 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1518044908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20628 DE FOREST ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642403",
"telephone_number": "818-802-8121",
"fax_number": "818-883-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21201 VICTORY BLVD",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "91303",
"telephone_number": "818-802-8121",
"fax_number": "818-883-4335"
}
],
"practiceLocations": [
{
"address_1": "16944 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "913164144",
"country_code": "US",
"telephone_number": "818-802-8121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHKES",
"first_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS16581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSE",
"last_name": "FISCHKES",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.