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
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	10964	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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