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RAVEN FISK
NPI 1205713369
Social Worker - Clinical in Tampa, FL

Active since August 20, 2025
4115 W SPRUCE ST STE 205, TAMPA, FL 33607(239) 999-1029(617) 807-0958 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Fisk NPPES

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

RAVEN FISK (NPI 1205713369) is an individual clinical provider in Tampa, Florida, licensed in Florida (ISW20961) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1205713369
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN FISK
Location Address4115 W SPRUCE ST STE 205Tampa, FL 33607-2485
Mailing AddressPo Box 748465Atlanta, GA 30374-8465
Phone(239) 999-1029
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1205713369 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 FL · ISW20961
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.
4115 W SPRUCE ST STE 205, Tampa, FL 33607
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Other Providers at the Same Location NPPES 10

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

MARLA MCQUAY
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
MS. DIANE MELOCHE JUSTUSSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029
STEPHANIE ELIZABETH SELBY
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
ALOKA JOSHI
Psychologist
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
ALEXANDRIA RENEE LODICK
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
MAUREEN MURPHY-LEE LAC
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (479) 595-4381
KHAVITA PERSAUD LCSW
Social Worker (Clinical)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029
ANA GUEVARA
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029

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 Raven Fisk's NPI number?

The NPI number for Raven Fisk is 1205713369. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Raven Fisk located?

Raven Fisk practices at 4115 W Spruce St Ste 205, Tampa, FL 33607. The listed phone number is (239) 999-1029.

What is Raven Fisk'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 Raven Fisk was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.