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NPI Code Detail

MEDICARE: MS. JOY IRENE FISCHER MSW, LICSW

MEDICARE:  MS. JOY IRENE FISCHER  MSW, LICSW
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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker10964MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275531097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOY IRENE FISCHER MSW, LICSW
Provider Business Mailing Address
First Line : 7267 LILAC LN
Second Line :
City : VICTORIA
State : MN
Zip : 55386-9767
Country : US
Telephone Number : 952-240-9011
Fax Number :
Provider Business Practice Location Address
First Line : 1107 HAZELTINE BLVD STE 408
Second Line :
City : CHASKA
State : MN
Zip : 55318-1064
Country : US
Telephone Number : 952-240-9011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/22/2020

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Directions to “ MS. JOY IRENE FISCHER MSW, LICSW” Practice Location

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