Individual provider Active NPI

Amelia Skylar Fisher, CDCA

  • Social Worker
  • Youngstown, OH
National Provider Identifier
1710681762
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1771 Market St
Youngstown, OH 44507-1135
Phone
(330) 744-5143
NPI assigned
Mar 27, 2023
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1771 Market St
Youngstown, OH 44507-1135

Mailing address

1507 Market St
Youngstown, OH 44507-1127

Other practice location 1

614 Bedford Rd SE
Brookfield, OH 44403-9756
Phone (330) 980-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning County Community Corrections Association, Inc. CurrentSince Jul 23, 2023 Accepting new patients
Mahoning County Community Corrections Association, Inc. CurrentSince Apr 6, 2023 Accepting new patients

Locations

1507 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1771 Market St
Youngstown, OH 44507
Phone (330) 744-5143

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1710681762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071135",
            "telephone_number": "330-744-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Bedford Rd SE",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "OH",
            "postal_code": "444039756",
            "country_code": "US",
            "telephone_number": "330-980-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "AMELIA",
        "middle_name": "SKYLAR",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.