Individual provider Active NPI

Jeanine Marie Fischer, LCSW

  • Clinical Social Worker
  • Oyster Bay, NY
National Provider Identifier
1891859765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0378901 Issued in NY
Practice address
68 W Main St
Oyster Bay, NY 11771-2284
Phone
(516) 624-3490
Fax
(516) 921-8707
NPI assigned
Dec 21, 2006
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 R0378901 NY Primary

Addresses

Primary practice location

68 W Main St
Oyster Bay, NY 11771-2284

Mailing address

68 W Main St
Oyster Bay, NY 11771-2284
Phone (516) 624-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040511000481 NY Practitioner - Clinical Social Worker 0345239752 Reassigns benefits to 1 organization
Practice locations: Oyster Bay, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 W Main St
Suite 9
Oyster Bay, NY 11771-2238
Phone (516) 624-3490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0378901NYMDClinical Social Worker
037890NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanine M Fischer PHD LCSW PC Clinical CurrentSince Nov 11, 2023 Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients

Locations

68 W Main St
Ste 9
Oyster Bay, NY 11771
Phone (516) 624-3490

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891859765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712284",
            "telephone_number": "516-624-3490",
            "fax_number": "516-921-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712284",
            "telephone_number": "516-624-3490",
            "fax_number": "516-921-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0378901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.