KATHLEEN FISHER LSW, LPC, ACS
NPI 1669800272
Counselor - Professional in Passaic, NJ
Active since October 16, 2013
About Kathleen Fisher Lsw, Lpc, Acs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN FISHER LSW, LPC, ACS (NPI 1669800272) is an individual professional provider in Passaic, New Jersey, licensed in New Jersey (37PC00167800) and active in the NPI registry since October 2013.
NPPES Registry Identity
NPI1669800272
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN FISHERCredential: LSW, LPC, ACS
Location Address530 MAIN AVEPassaic, NJ 07055-5700
Mailing Address530 Main AvePassaic, NJ 07055-5700
Phone(973) 470-3168
Sole ProprietorYes
Enumeration DateOctober 16, 2013
✔ NPI 1669800272 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00167800
Also ListedSocial WorkerTaxonomy 104100000X · License 44SL00110500 (NJ)
530 MAIN AVE, Passaic, NJ 07055
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
530 MAIN AVE
PASSAIC, NJ 07055
PASSAIC, NJ 07055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669800272, enumerated as an "individual" on October 16, 2013.
The provider is located at 530 MAIN AVE PASSAIC, NJ 07055 and the phone number is (973) 470-3168.
Counselor with taxonomy code 101YP2500X and a focus in Professional.