Individual provider Active NPI

Velma A Fisher, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1780801993
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22194 Issued in TX
Practice address
107 Fannin Ave Ste 100
Round Rock, TX 78664-5218
Phone
(512) 763-0775
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 22194 TX
Clinical Social Worker 1041C0700X 22194 TX Primary

Addresses

Primary practice location

107 Fannin Ave Ste 100
Round Rock, TX 78664-5218

Mailing address

107 Fannin Ave Ste 100
Round Rock, TX 78664-5218
Phone (512) 763-0775

Other practice location 1

1600 Payton Gin Rd
Austin, TX 78758-6506
Phone (512) 836-2150 ext. 123

Other identifiers 1

IdentifierTypeStateIssuer
142901102MedicaidTX

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

LicenseStateTypeSpecialty
22194TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780801993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FANNIN AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645218",
            "telephone_number": "512-763-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FANNIN AVE STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645218",
            "telephone_number": "512-763-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Payton Gin Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787586506",
            "country_code": "US",
            "telephone_number": "512-836-2150 x123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "VELMA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "22194",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142901102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.