Active NPI
Amanda Fisher, LCSW
- Clinical Social Worker
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149027004
- Practice address
- 2580 E Federal Dr Ste 403
Decatur, IL 62526-2189 - Phone
- (217) 422-0027
- NPI assigned
- Apr 10, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149027004 | IL | Primary |
Addresses
Primary practice location
2580 E Federal Dr Ste 403
Decatur, IL 62526-2189
Mailing address
2580 E Federal Dr Ste 403
Decatur, IL 62526-2189
Phone (217) 422-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2580 E Federal Dr
Suite 403
Decatur, IL 62526-2189
Phone (217) 809-0429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149027004 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Psychiatry LTD | Current | Accepting new patients | |
| Blooming Minds Counseling PLLC | Clinical | Current | Accepting new patients |
Locations
363 S Main St
Ste 240
Decatur, IL 62523
Phone (217) 809-0429
3767 E US Route 36
Decatur, IL 62521
Phone (217) 330-6153
2580 E Federal Dr
Ste 403
Decatur, IL 62526
Phone (217) 422-0027
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.
-
- Clinical Social Worker
- Decatur, IL
- NPI 1851247167
-
- Psychiatry Physician
- Decatur, IL
- NPI 1770638686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1942053616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 E FEDERAL DR STE 403",
"city": "DECATUR",
"state": "IL",
"postal_code": "625262189",
"telephone_number": "217-422-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 E FEDERAL DR STE 403",
"city": "DECATUR",
"state": "IL",
"postal_code": "625262189",
"telephone_number": "217-422-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149027004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.