Individual provider Active NPI

Kelly S Fischer, LISW

  • Clinical Social Worker
  • Springfield, OH
National Provider Identifier
1992297998
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2204010 Issued in OH
Practice address
651 S Limestone St
Springfield, OH 45505-1965
Phone
(937) 324-1111
Fax
(937) 328-7257
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 I.2204010 OH Primary

Addresses

Primary practice location

651 S Limestone St
Springfield, OH 45505-1965

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230103001999 OH Practitioner - Clinical Social Worker 6002286333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocking Horse Childrens Health CenterGroup PAC ID 4789653890, 25 clinicians

Practice addresses (Care Compare)

651 S Limestone St
Springfield, OH 45505-1965
Phone 9373241111282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2204010OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocking Horse Childrens Health Center CurrentSince Oct 27, 2022 Accepting new patients
Rocking Horse Childrens Health Center CurrentSince Oct 27, 2022 Accepting new patients

Locations

212 N Main St
London, OH 43140
Phone (740) 845-7000

601 Selma Rd
Springfield, OH 45505
Phone (937) 324-7423

651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111

Interoperability endpoints

  • Direct secure messaging: kelly.fisher.p1@direct.rockinghorsecenter.nextgenshare.com

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1992297998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-328-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.