Amy Killen Fisher, LCSW
Individual provider Active NPI Clinical Social Worker · University, MS
NPI 1871817494 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1871817494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C5742 (MS)
- Practice address
- All American Drive
University Counseling Center
University, MS 38677-1848 - Phone
- (662) 915-3784
- Fax
- (662) 915-7831
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5742 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C5742 | MS | Yes |
Addresses
Primary practice location
All American Drive
University Counseling Center
University, MS 38677-1848
Mailing address
All American Drive
University Counseling Center
University, MS 38677-1848
Phone (662) 915-3784
Other providers in University, MS
- Laura J Dixon
- Sean Dunn
- Campbell Douglas Dye
- Kirk Emick
- Brittany Ferrell
- Enrique Jesus Flechas
- Ronald Corbit Franks Jr.
- Aynslie Grace Furbush
- Susannah Furr
- Rosalie Garner
All providers in University, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.