Active NPI
Julie Fisher Lcswr LLC
- Clinical Social Worker
- Lake Luzerne, NY
National Provider Identifier
1649958398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JULIE FISHER LCSWR LLC
- Practice address
- 2 Locarno Rd
Lake Luzerne, NY 12846 - Phone
- (518) 704-6688
- Fax
- (518) 379-0609
- NPI assigned
- Jul 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Lynn Fisher, LCSWR
- Title
- Owner/Lcswr
- Phone
- (518) 704-6688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2 Locarno Rd
Lake Luzerne, NY 12846
Mailing address
752 Upper Glen St # 1004
Queensbury, NY 12804-2019
Phone (518) 704-6688
National Provider Directory
National Provider DirectoryLocations
752 Upper Glen St
Queensbury, NY 12804
Phone (347) 353-0051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1649958398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 UPPER GLEN ST # 1004",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128042019",
"telephone_number": "518-704-6688",
"fax_number": "518-379-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LOCARNO RD",
"city": "LAKE LUZERNE",
"state": "NY",
"postal_code": "12846",
"telephone_number": "518-704-6688",
"fax_number": "518-379-0609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE FISHER LCSWR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/LCSWR",
"authorized_official_telephone_number": "518-704-6688",
"authorized_official_credential": "LCSWR"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Luzerne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.