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General NPI Number Information
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NPI Number | 1780448555
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Entity Type | Organization
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Legal Business Name | FISHER LCSW PLLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2 LOCARNO DR
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City | LAKE LUZERNE
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State | NY
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Zip | 12846-3239
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Country | US
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Telephone | 518-831-5238
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Fax | 518-379-0609
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Provider Business Mailing Address
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Address Line | 2 LOCARNO DR
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City | LAKE LUZERNE
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State | NY
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Zip | 12846-3239
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Country | US
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Telephone | 518-831-5238
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Fax | 518-379-0609
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Authorized Official
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Title or Position | OWNER/SINGLE MEMBER
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Name | JULIE FISHER
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Credential | LCSWR
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Telephone | 518-396-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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