Kelley Fisher

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904015539 Issued in VA

Practice address

130 Carriebrooke Dr
Stephens City, VA 22655-6000

Phone

(540) 686-0220

NPI assigned

Aug 24, 2023

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

West Virginia University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carpe Diem CounselingGroup PAC ID 0840670329, 5 clinicians

Practice addresses (Care Compare)

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.

• Carpe Diem Counseling

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1578204442
  Medicare reassignment Care Compare group NPD
• Cacapon Counseling Services

  dba Stella Nova Counseling

  • Mental Health Counselor
  • Winchester, VA
  • NPI 1467068122

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1578347084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CARRIEBROOKE DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226556000",
            "telephone_number": "540-686-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARRIEBROOKE DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226556000",
            "telephone_number": "540-686-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Rehabilitation
• Nancy Evans, LCSW
• Samia H Farah, RPH,PHARMD
• Anthony Blake Fields, PHARM D
• Wendy M Fink
• Jessica M Forrer, DPT
• Katlyn Marie Frye, RD, CSSD, ACSM-CPT
• Lindsey Garber, M.A., CCC-SLP
• Samuel E Garcia
• Elizabeth Ann Garner, LCSW

• Clinical Social Worker in Stephens City, VA
• Providers in Stephens City, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.

Verify at the official NPI Registry.