Randall Fisher is a Clinical in Pittsfield, Massachusetts. Randall Fisher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall Fisher is 1093806564. The last update date is 2013-03-26.
Randall Fisher's current location address is 120 South St, Pittsfield, Massachusetts. You can contact this provider via phone number 4134990100. The mailing address for Randall Fisher is 120 South St, Pittsfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Fisher |
|---|---|
| Address | 120 South St, Pittsfield, Massachusetts |
| Phone Number | 4134990100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1093806564 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2013-03-26 |
Provider Mailing Address Detail
| Address | 120 South St |
|---|---|
| City | Pittsfield |
| State | Massachusetts (MA) |
| Post Code | 12016110 |
| Phone Number | 4134990100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1015682 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PO4602 | MA | BCBS INDEMITY NUMBER | |
| 543688000 | MA | MAGELLAN PROVIDER NUMBER | |
| 32270 | MA | HNE PROVIDER NUMBER | |
| PP0394 | MA | BCBS MANAGED CARE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Randall Fisher by the Centers for Medicare & Medicaid Services?
The Randall Fisher has been assigned the NPI (National Provider Identifier) 1093806564. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Randall Fisher is geographically located?
The Randall Fisher is physically situated at the following location: 120 South St, Pittsfield, MA, 12016110.
What is Randall Fisher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randall Fisher is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Randall Fisher receive its 1093806564 assignment from the Centers for Medicare & Medicaid Services?
The Randall Fisher was assigned its 1093806564 by the Centers for Medicare & Medicaid Services on 2006-09-27.
When was the information regarding Randall Fisher, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randall Fisher, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-26.