Individual provider Active NPI

Florrie Fisher, MSS

  • Clinical Social Worker
  • Southampton, PA
National Provider Identifier
1740322585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW003151L Issued in PA
Practice address
Lakeside Office Park
504 Lakeside Drive
Southampton, PA 18966-4078
Phone
(215) 354-0777
Fax
(215) 354-0772
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW003151L PA Primary

Addresses

Primary practice location

Lakeside Office Park
504 Lakeside Drive
Southampton, PA 18966-4078

Mailing address

Lakeside Office Park
504 Lakeside Drive
Southampton, PA 18966-4078
Phone (215) 354-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20081105000351 PA Practitioner - Clinical Social Worker 1052470010 Practice locations: Southampton, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

504 Lakeside Dr
Southampton, PA 18966-4078

504 Lakeside Park
Southampton, PA 18966-4078
Phone (215) 962-5634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW003151LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740322585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAKESIDE OFFICE PARK",
            "address_2": "504 LAKESIDE DRIVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-354-0777",
            "fax_number": "215-354-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKESIDE OFFICE PARK",
            "address_2": "504 LAKESIDE DRIVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-354-0777",
            "fax_number": "215-354-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "FLORRIE",
        "name_prefix": "Ms.",
        "credential": "MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW003151L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.