Provider Demographics
NPI:1801531108
Name:FISHER, JANINA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JANINA
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:JANINA
Other - Middle Name:STERLING
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:95 NICHOLS ST # 1R
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1650
Mailing Address - Country:US
Mailing Address - Phone:646-378-9715
Mailing Address - Fax:
Practice Address - Street 1:95 NICHOLS ST # 1R
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1650
Practice Address - Country:US
Practice Address - Phone:646-378-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1161261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical