Individual provider Active NPI

Dempsey Belle Fisher, LCSW

  • Clinical Social Worker
  • Portales, NM
National Provider Identifier
1710556493
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20655 Issued in FL
Practice address
2220 Boxwood Cir
Portales, NM 88130-9356
Phone
(850) 972-8193
NPI assigned
Jun 17, 2021
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2024-1226 NM
Clinical Social Worker 1041C0700X SW20655 FL Primary

Addresses

Primary practice location

2220 Boxwood Cir
Portales, NM 88130-9356

Mailing address

2220 Boxwood Cir
Portales, NM 88130-9356
Phone (740) 444-3981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221117003284 FL Practitioner - Clinical Social Worker 3375911621 Reassigns benefits to 1 organization
I20250719000197 NM Practitioner - Clinical Social Worker 3375911621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-1226NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher's Playhouse CurrentSince May 5, 2025 Accepting new patients
Bayou Wellness of Northwest Florida, LLC CurrentSince Nov 10, 2022 Accepting new patients

Locations

69 Bay Bridge Dr
Ste G
Gulf Breeze, FL 32561
Phone (850) 324-7912

7100 Plantation Rd
Ste 2
Pensacola, FL 32504
Phone (850) 324-7912

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1710556493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 BOXWOOD CIR",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309356",
            "telephone_number": "740-444-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 BOXWOOD CIR",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309356",
            "telephone_number": "850-972-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DEMPSEY",
        "middle_name": "BELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-1226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.