Individual provider · Type 1 NPI

Jon Mark Fisher, LICSW

Clinical Social Worker · Shoreview, MN

NPI number 1487820643 Active

Practice location

3490 Lexington Ave N, Suite 205
Shoreview, MN 55126-8074

Call (651) 486-3808 Map

Fax (651) 486-3858

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16234 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1487820643

Jon Mark Fisher, LICSW's National Provider Identifier is 1487820643, issued on May 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shoreview, MN. The record was last updated on May 7, 2008.