Kezia Lee Fisher, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09927762 Issued in CO

Practice address

621 W 96TH Ave
Thornton, CO 80260-5469

Phone

(303) 853-3500

Fax

(303) 853-3702

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kezia Lee Fisher Professional name

Medicare fee-for-service enrollment

Enrolled in CO

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kezia.fisher.p2@direct.communityreachcenter.nextgenshare.com

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.

• Community Reach Center, Inc

  • Community/Behavioral Health Agency
  • Thornton, CO
  • NPI 1316906886
  Medicare reassignment NPD
• Community Reach Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Broomfield, CO
  • NPI 1841887056
  NPD

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1689956963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 96TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802605469",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEZIA",
        "middle_name": "LEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CSW.09927762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEZIA",
            "last_name": "FISHER",
            "middle_name": "LEE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Finkelstein
• Christine Finn, DDS
• Jennifer A Fischer, RN, APN, FNP-BC
• Deanna Fisher, BA PSYCHOLOGY
• Deliesha Elaine Fisher, M.ED., LPC, NCC
• Amy Elizabeth Fitch
• Joan Fitzgerald, M.S. L.P.C.
• Lauren Alice Fitzpatrick, PHARMD
• Michelle Nicole Fitzpatrick, PT, DPT
• Tonia Fitzsimmons

• Clinical Social Worker in Thornton, CO
• Providers in Thornton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.