Kelly Marie Fisher

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2305000-SUPV Issued in OH

Practice address

533 Dayton St
Hamilton, OH 45011-3455

Phone

(513) 907-5775

NPI assigned

Sep 3, 2020

Last updated

Mar 6, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wired to Bloom Therapy & Consulting, LLC

  • Mental Health Counselor
  • West Chester, OH
  • NPI 1467137521
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1730793068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 CURNIE DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450139067",
            "telephone_number": "513-907-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 DAYTON ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113455",
            "telephone_number": "513-907-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 E Kemper Rd Ste 3100A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452463945",
            "country_code": "US",
            "telephone_number": "513-935-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2305000-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taleisha Fields
• Emma Finger
• First Cincinnati Physic
• Christina Lynn Fishbaugh-Cooper
• Ashley Fisher
• Quincy T Fisher
• Ken Fitzwater
• Stacey Lynne Flanigan
• Jennifer Marie Flannery, LMT
• Kassidy L Fleming

• Clinical Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.