Healthcare Provider Details

I. General information

NPI: 1336248327
Provider Name (Legal Business Name): RICHARD M. FISCHER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9795 PERRY HWY STE 120
WEXFORD PA
15090-9700
US

IV. Provider business mailing address

9795 PERRY HWY STE 120
WEXFORD PA
15090-9700
US

V. Phone/Fax

Practice location:
  • Phone: 724-272-5989
  • Fax: 412-364-4281
Mailing address:
  • Phone: 724-272-5989
  • Fax: 412-364-4281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW002332L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: