Jane M Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R052776-1 Issued in NY

Practice address

101 Sullys TRL
Meadowgate BLDG. 10
Pittsford, NY 14534-4552

Phone

(585) 586-8550

Fax

(585) 586-8603

NPI assigned

Jan 16, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578614699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SULLYS TRL",
            "address_2": "MEADOWGATE BLDG. 10",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344552",
            "telephone_number": "585-586-8550",
            "fax_number": "585-586-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SULLYS TRL",
            "address_2": "MEADOWGATE BLDG. 10",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344552",
            "telephone_number": "585-586-8550",
            "fax_number": "585-586-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JANE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052776-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "7181397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Finding Jude Inc
• Finger Lakes Infectious Diseases, PLLC
• Finger Lakes Periodontics PLLC
• Fingerlakes Women'S Health
• Michael Benjamin Fink, D.C.
• Nichole Fisher
• Jennifer Suzanne Flannery, PHARM. D.
• FLX Periodontics
• Lisa A Fogel, LCSW
• James Norman Foster, M.D.

• Clinical Social Worker in Pittsford, NY
• Providers in Pittsford, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.