NPI 1508155318 · live from the CMS NPI Registry
Kaylin M Fisher, LCSW
Social Worker in Orlando, FL. National Provider Identifier 1508155318, active.
NPI record
| NPI | 1508155318 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, FL 32806 |
| Practice phone | 407-650-7715 |
| Mailing address | Po Box 191, Provider Enrollment Department, Rockland, DE 19732 |
| Enumerated | April 1, 2011 |
| Last updated | May 13, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7839 (FL) |
| Social Worker, Clinical | 1041C0700X | SW9602 (FL) |
| Social Worker primary | 104100000X | SW9602 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.