Provider Demographics
NPI:1467952556
Name:FIESER, JAMES AARON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:AARON
Last Name:FIESER
Suffix:
Gender:M
Credentials:LCSW
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 10142
Mailing Address - Street 2:
Mailing Address - City:GEORGE TOWN
Mailing Address - State:GRAND CAYMAN
Mailing Address - Zip Code:11002
Mailing Address - Country:KY
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 MARKET STREET, #355
Practice Address - Street 2:
Practice Address - City:GEORGE TOWN
Practice Address - State:GRAND CAYMAN
Practice Address - Zip Code:KY19006
Practice Address - Country:KY
Practice Address - Phone:345-938-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8444-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR8444-COtherSOCIAL WORK LICENSE NUMBER