MEDICARE: JAMIE ROSANNA FISHER MSW, PLMHP, PCMSW

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	3633	NE
2	1041C0700X	Clinical Social Worker	8231	NE
3	101YM0800X	Mental Health Counselor	14486	NE

General Provider Information

NPI Number	:	1154200095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE ROSANNA FISHER MSW, PLMHP, PCMSW

Provider Business Mailing Address
First Line	:	PO BOX 23
Second Line	:
City	:	TRYON
State	:	NE
Zip	:	69167-0023
Country	:	US
Telephone Number	:	402-419-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 E B ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4049
Country	:	US
Telephone Number	:	308-534-3351
Fax Number	:	308-696-2200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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