Provider Demographics
NPI:1043684178
Name:FISHER, CARAMIA (MSW)
Entity Type:Individual
Prefix:
First Name:CARAMIA
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 73RD AVE N APT 201
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5957
Mailing Address - Country:US
Mailing Address - Phone:727-330-0169
Mailing Address - Fax:
Practice Address - Street 1:225 73RD AVE N APT 201
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5957
Practice Address - Country:US
Practice Address - Phone:727-330-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor