Lauren Susan Edson Fisher, LCSW-R

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

13-4182492 Issued in NY

Practice address

777 Seaview Ave
BLD 2
Staten Island, NY 10305-3409

Phone

(718) 351-5530

Fax

(718) 351-5639

NPI assigned

Dec 23, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S I Behavioral Network, Inc

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1558630202
  NPD (past)

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1942579784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVENUE",
            "address_2": "BLD. 2",
            "city": "SI",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-351-5530",
            "fax_number": "718-351-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "BLD 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-351-5530",
            "fax_number": "718-351-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDSON FISHER",
        "first_name": "LAUREN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO38339-1",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "13-4182492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjeil Zurishaddai Edghill, MD
• Mary Ann Soto Edghill, M.D.
• Akissi B Edjemin, LPN
• Nestor Ann Edmondson
• Sandra Marie Edris, RN
• Edward J Ferdinando
• Allison Edwards, L.M.S.W.
• Jarcee Edwards
• Teniqua Evelyn Edwards, RN
• William Felix Edwards, D.D.S.

• Case Manager/Care Coordinator in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.