Individual provider Active NPI

Henni K Fisher, LCSW,BCD

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1588735161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO16495-1 Issued in NY
Practice address
2351 Brigham St
Brooklyn, NY 11229-5511
Phone
(718) 769-1635
Fax
(718) 646-5894
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO16495-1 NY Primary

Addresses

Primary practice location

2351 Brigham St
Brooklyn, NY 11229-5511

Mailing address

2351 Brigham St
Brooklyn, NY 11229-5511
Phone (718) 769-1636

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100507000136 NY Practitioner - Clinical Social Worker 3173651403 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2351 Brigham St
Brooklyn, NY 11229-5511
Phone (718) 769-1635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO16495-1NYMDClinical Social Worker
016495NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588735161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 BRIGHAM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295511",
            "telephone_number": "718-769-1636",
            "fax_number": "718-646-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BRIGHAM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295511",
            "telephone_number": "718-769-1635",
            "fax_number": "718-646-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "HENNI",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO16495-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.