Individual provider · Type 1 NPI

Tammy Lynne Fish, LCSW

Clinical Social Worker · Fort Drum, NY

NPI number 1700860053 Active

Practice location

Nash Street Building # T-28, Department Of Behavioral Health
Fort Drum, NY 13602

Mailing address

410 Holcomb St
Watertown, NY 13601-3907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002400 (NC)

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 1700860053

Tammy Lynne Fish, LCSW's National Provider Identifier is 1700860053, issued on Nov 30, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 13, 2026.