MEDICARE: FISK SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1508564584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FISK SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3923 KEARNEY DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1820
Country	:	US
Telephone Number	:	616-888-1113
Fax Number	:

Provider Business Practice Location Address
First Line	:	3923 KEARNEY DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1820
Country	:	US
Telephone Number	:	616-888-1113
Fax Number	:

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	ERIN WILLIAMS FISK
Credential	:	LMSW
Telephone Number	:	616-888-1113

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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Directions to “FISK SOLUTIONS, LLC ” Practice Location

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