Provider Demographics
NPI:1013297597
Name:FISCHPAN, DANA MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MICHELLE
Last Name:FISCHPAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MICHELLE
Other - Last Name:EPSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8322 E HARTFORD DR
Mailing Address - Street 2:FL 1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5402
Mailing Address - Country:US
Mailing Address - Phone:201-873-1070
Mailing Address - Fax:
Practice Address - Street 1:15509 N SCOTTSDALE RD
Practice Address - Street 2:UNIT 2031
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3148
Practice Address - Country:US
Practice Address - Phone:201-873-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YM0800X
NJ44SC055686001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical