Phyllicia Fisher, LCSW
Social Worker, Clinical in Stafford, TX. Individual provider (NPI-1).
NPI number1245749415
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1245749415
- Entity type
- Individual (NPI-1)
- Name
- Phyllicia Fisher
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2017
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14517 | LA | Yes |
| 1041C0700X | Social Worker, Clinical | 59690 | TX | |
| 1041C0700X | Social Worker, Clinical | 11062-C | NV |
Practice location
1025 Dulles Ave Apt 1128Stafford, TX 77477-5746
Phone 678-687-8172
Mailing address
1025 Dulles Ave Apt 1128Stafford, TX 77477-5746
Phone 678-687-8172
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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