Provider Demographics
NPI:1467016865
Name:FISHER, TOYA RANDI (MSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:TOYA
Middle Name:RANDI
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93008
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20090-9308
Mailing Address - Country:US
Mailing Address - Phone:202-497-1740
Mailing Address - Fax:
Practice Address - Street 1:8100 PROFESSIONAL PL STE 200
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2229
Practice Address - Country:US
Practice Address - Phone:301-577-4440
Practice Address - Fax:301-574-4123
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500790351041C0700X
MD139981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical