Katrina Fisher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003994 Issued in NC

Practice address

400 N Church St
Monroe, NC 28112-4804

Phone

(704) 296-0154

NPI assigned

Jun 28, 2007

Last updated

Sep 29, 2021By the provider in NPPES

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 2

Other names 1

• Katrina Fisher Reyes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union County Public Schools

  • Clinical Social Worker
  • Monroe, NC
  • NPI 1306919188
  NPD
• Union County Public Schools

  • Local Education Agency (LEA)
  • Monroe, NC
  • NPI 1548327489
  NPD

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1669679163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 COLTSGATE RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738274",
            "telephone_number": "704-243-3412",
            "fax_number": "704-243-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124804",
            "telephone_number": "704-296-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 Concord Hwy",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28110",
            "country_code": "US",
            "telephone_number": "704-258-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Parkwood School Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281120001",
            "country_code": "US",
            "telephone_number": "704-296-0154 x3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KATRINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106825",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "142F6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "REYES",
            "middle_name": "FISHER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• First Care Medical Clinic
• First Care Medical Clinic, PA (First Care Medical Clinic)
• First Choice Supply, Inc (First Choice Supply)
• Kelsey Fish, LPCA
• Mark Todd Fishel, D.C.
• Susanna Fisher, CNA
• Sophia Fitzgerald, PHARMD
• David M. Flaherty, LCSW
• Hannah Cailin Florian, SLP-CCC
• Robin Flynn, COTA/L

• Clinical Social Worker in Monroe, NC
• Providers in Monroe, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.