AMY FISHER LSW
NPI 1770109407
Social Worker - Clinical in Philadelphia, PA
About Amy Fisher Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY FISHER LSW (NPI 1770109407) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SW133510) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Fisher Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
- Also billed through NPI 1578289252 (Pennsylvania)
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
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 Amy Fisher's NPI number?
The NPI number for Amy Fisher is 1770109407. It was assigned to this individual provider in the NPPES registry on June 18, 2020.
Where is Amy Fisher located?
Amy Fisher practices at 4641 Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-7902.
What is Amy Fisher's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Amy Fisher enrolled in Medicare?
Yes. Amy Fisher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Fisher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Fisher reassigns Medicare benefits to Forge Medical Group, LLC (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Fisher was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Amy Fisher, LSW · NPI 1770109407
Clinical provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 18, 2020.
## Identity
- **NPI:** 1770109407 (Entity type: Individual)
- **Enumerated:** June 18, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** SW133510 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4641 ROOSEVELT BLVD, Philadelphia, PA 19124-2343
- **Phone:** (215) 831-7902
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forge Medical Group, LLC (NPI 1962175026, West Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1770109407) · Data from the CMS NPPES public registry.