| Fisher Lcsw Pllc | |
|
2 Locarno Dr Lake Luzerne NY 12846-3239 | |
| (518) 396-7837 | |
| Not Available |
| Full Name | Fisher Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Locarno Dr, Lake Luzerne, New York |
| Authorized Official Name and Position | Julie Fisher (OWNER/SINGLE MEMBER) |
| Authorized Official Contact | 5183967837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher Lcsw Pllc 2 Locarno Dr Lake Luzerne NY 12846-3239 Ph: (518) 396-7837 | Fisher Lcsw Pllc 2 Locarno Dr Lake Luzerne NY 12846-3239 Ph: (518) 396-7837 |
| NPI Number | 1780448555 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6103266481 |
|---|---|
| Medicare Enrollment ID | O20240503000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780448555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356584072 PECOS PAC ID: 1052633732 Enrollment ID: I20141208002164 |
Julie Fisher Lcswr Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Locarno Rd, Lake Luzerne, NY 12846 Phone: 518-704-6688 Fax: 518-379-0609 |