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Contact Information

KELLY A FISHER, LCSW
173 LAKE HILL RD
BURNT HILLS, NY12027-9405
 Phone: 518-399-9141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KELLY A FISHER · (Female)

NPI # 1699051326
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/26/2011
Last updated 03/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 079572
  • NY License # 089977
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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