Active NPI
Randy L Fisher, MSSA, LISW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1780709709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0004367
- Practice address
- Children'S Hospital Guidance Center
899 E. Broad St 3Rd Floor
Columbus, OH 43205 - Phone
- (614) 355-8000
- Fax
- (614) 355-8018
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0004367 | OH | Primary |
Addresses
Primary practice location
Children'S Hospital Guidance Center
899 E. Broad St 3Rd Floor
Columbus, OH 43205
Mailing address
Children'S Hospital Guidance Center
899 E. Broad St 3Rd Floor
Columbus, OH 43205
Phone (614) 355-8000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0004367 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780709709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHILDREN'S HOSPITAL GUIDANCE CENTER",
"address_2": "899 E. BROAD ST 3RD FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-355-8000",
"fax_number": "614-355-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN'S HOSPITAL GUIDANCE CENTER",
"address_2": "899 E. BROAD ST 3RD FLOOR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-355-8000",
"fax_number": "614-355-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "RANDY",
"middle_name": "L",
"credential": "MSSA, LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0004367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.