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KRISTEN ANN FISHBACK LCSW
NPI 1013559517
Social Worker - Clinical in Mexico, MO

Active since October 16, 2019
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen Ann Fishback Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ANN FISHBACK LCSW (NPI 1013559517) is an individual clinical provider in Mexico, Missouri, licensed in Missouri (2015015800) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1013559517
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN ANN FISHBACKCredential: LCSW
Location Address340 KELLEY PKWYMexico, MO 65265-3811
Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212
Phone(573) 582-1234
Fax(573) 582-1212
Sole ProprietorNo
Enumeration DateOctober 16, 2019
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1013559517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2015015800
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
340 KELLEY PKWY, Mexico, MO 65265
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENZI KEA ROSS FNP
Nurse Practitioner (Family)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
PATRICIA ANN ERWIN LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
DR. DWIGHT E. MCLEOD D.D.S. M.S.
Dentist (Periodontics)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Psychologist (Rehabilitation)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CYNTHIA MAE MACKEY LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CATHERINE TERESA BROWNING APN
Nurse Practitioner (Psychiatric/Mental Health)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
AI-CHIEH LIN PHARMD
Pharmacist
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 567-5173
NANCY J BUNGE M.D.
Pediatrics
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Fishback's NPI number?

The NPI number for Kristen Fishback is 1013559517. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Kristen Fishback located?

Kristen Fishback practices at 340 Kelley Pkwy, Mexico, MO 65265. The listed phone number is (573) 582-1234.

What is Kristen Fishback's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristen Fishback was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.