Pamela Jane Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39411 Issued in TX

Practice address

109 W Tyler St Ste F
Gilmer, TX 75644-2239

Phone

(903) 680-0678

NPI assigned

Mar 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Jane Heath Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fisher Institute of Trauma Recovery PLLC

  • Adult Mental Health Clinic/Center
  • Gilmer, TX
  • NPI 1316562358
  NPD Authorized official

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1558685131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W TYLER ST STE F",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442239",
            "telephone_number": "903-680-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W TYLER ST STE F",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442239",
            "telephone_number": "903-680-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HEATH",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Felix Ekanem
• Leah Erickson, M.ED, LPC
• Eugene R Foster MD PA
• Fannin County Hospital Authority
• Fisher Institute of Trauma Recovery PLLC
• Fpacp Upshur LLC
• Joshua K Furniss, DDS
• Gezond Therapy Services
• Caitlyn Paige Gibson, RN
• Gilmer Dental PLLC

• Clinical Social Worker in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.