Individual provider Active NPI

Andrea Rose Fischer

  • Clinical Social Worker
  • Longmeadow, MA
National Provider Identifier
1649755992
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124611 Issued in MA
Practice address
175 Dwight Rd
Longmeadow, MA 01106-1576
Phone
(413) 450-0004
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 124611 MA Primary

Addresses

Primary practice location

175 Dwight Rd
Longmeadow, MA 01106-1576

Mailing address

PO Box 1434
Warren, MA 01083-1434
Phone (413) 045-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 30, 2025 through Jul 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124611MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Counseling, LLC Clinical Current Accepting new patients

Locations

175 Dwight Rd
Ste 303A
Longmeadow, MA 01106
Phone (413) 450-0004

175 Dwight Rd
Longmeadow, MA 01106
Phone (413) 237-9010

175 Dwight Rd
Fl 3
Longmeadow, MA 01106

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1649755992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "WARREN",
            "state": "MA",
            "postal_code": "010831434",
            "telephone_number": "413-045-0004",
            "fax_number": "413-450-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061576",
            "telephone_number": "413-450-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.