Deidra Fisher-Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002911 Issued in VA

Practice address

1139 Sugar Run Rd
Jonesville, VA 24263-8232

Phone

(276) 273-7201

NPI assigned

Aug 10, 2006

Last updated

Aug 13, 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 names 1

• Deidra Fisher-Taylor Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

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.

• Deidra Fisher-Taylor Acsw LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesville, VA
  • NPI 1649061441
  NPD Authorized official
• Regional Health Resources Inc

  • Rural Health Clinic/Center
  • Duffield, VA
  • NPI 1841415619
  NPD (past)
• Regional Health Resources, Inc

  • Primary Care Clinic/Center
  • Duffield, VA
  • NPI 1487681771
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1699786475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 SUGAR RUN RD",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242638232",
            "telephone_number": "276-275-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 SUGAR RUN RD",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242638232",
            "telephone_number": "276-273-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER-TAYLOR",
        "first_name": "DEIDRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRA",
            "last_name": "FISHER-TAYLOR",
            "credential": "ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas Victor Evans, MAE, EDS, NCSP
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Family Preservations Services, Inc
• Arielle Renee Fannon, NP
• Frontier Health (Lee County Behavioral Health Services)
• Frontier Health (Lee High School)
• Kathryn Michele Gamble
• Jessica Lynn Glass, FNP
• Patricia A Hendricks

• Clinical Social Worker in Jonesville, VA
• Providers in Jonesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.