Active NPI
Nadine Renee Fish, MSW
- Social Worker
- Benton Harbor, MI
National Provider Identifier
1790097640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801090473
- Practice address
- 1485 M 139
Benton Harbor, MI 49022-5711 - Phone
- (269) 925-0585
- Fax
- (269) 927-1326
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801090473 | MI | Primary |
Addresses
Primary practice location
1485 M 139
Benton Harbor, MI 49022-5711
Mailing address
1485 M 139
Benton Harbor, MI 49022-5711
Phone (269) 925-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1485 M
Suite 139
Benton Harbor, MI 49022-5711
Phone (269) 934-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berrien Mental Health Authority | Social Worker | Current | Accepting new patients |
| Hope Reborn Counseling, PLLC | Current | Accepting new patients | |
| Nadine Fish Inc | Current | Accepting new patients | |
| Berrien Mental Health Authority | Current | Accepting new patients |
Locations
1485 M 139
Benton Harbor, MI 49022
Phone (269) 934-1611
3950 Hollywood Rd
Ste 245
Saint Joseph, MI 49085
Phone (269) 982-7844
2500 Niles Rd
Ste 7
Saint Joseph, MI 49085
Phone (269) 281-0407
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Saint Joseph, MI
- NPI 1356858997
-
- In Home Supportive Care Agency
- Portage, MI
- NPI 1811132707
-
- Psychiatry Physician
- Saint Joseph, MI
- NPI 1508801465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1790097640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 M 139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490225711",
"telephone_number": "269-925-0585",
"fax_number": "269-927-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 M 139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490225711",
"telephone_number": "269-925-0585",
"fax_number": "269-927-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "NADINE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801090473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.