GERARD KIMBLE FISHER – Clinical Social Worker, NPI 1225510282

Clinical Social Worker

GERARD KIMBLE FISHER is a healthcare provider. based in Clearwater, Florida. specializing in CLINICAL SOCIAL WORKER. They hold a License No. SW15637 (FL). The NPI Number for GERARD KIMBLE FISHER is 1225510282

Main info

Male

Sole Proprietor

29 Years Of Experience

Accepts Medicare Assignment

Name

GERARD KIMBLE FISHER

NPI

1225510282

Phone

(727) 216-6193

Address

2349 Sunset Point Rd Ste 405

Enumeration Date

5 September 2018

Last Update Date

16 April 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9547769992

Graduation Year

1997 (29 years ago)

PAC ID

9830606862

Group Practice PAC ID

6305883133

Professional Enrollment ID

I20250725000991

Address ID

FL333084356FO3012XBLVD400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience43

Completeness85

Years active:7State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for GERARD KIMBLE FISHER

2349 Sunset Point Rd Ste 405
Clearwater, FL 337651439
Phone: (727) 216-6193
Fax: (877) 868-0981
Type: Location
18360 NW 47th Ave
Miami Gardens, FL 330552934
Phone: (786) 800-5631
Fax: (888) 285-1741
Type: Location
2105 N Nebraska Ave
Tampa, FL 336022558
Phone: (813) 769-7207
Fax: (844) 722-0028
Type: Location
4615 Philips Hwy Ste 3
Jacksonville, FL 322079541
Phone: (904) 508-0710
Fax: (855) 299-7010
Type: Location
14243 Tamiami Trl
North Port, FL 342872215
Phone: (941) 888-2144
Fax: (888) 213-0604
Type: Location
3012 E Commercial Blvd
Fort Lauderdale, FL 333084356
Phone: (954) 776-9992
Fax: (954) 776-9993
Type: Location
1301 W Colonial Dr
Orlando, FL 328047133
Phone: (407) 246-1946
Fax: (855) 895-5749
Type: Location
8390 N Palafox St
Pensacola, FL 325343735
Phone: (850) 988-5245
Fax: (877) 266-7170
Type: Location
408 7th St W
Palmetto, FL 342215209
Phone: (941) 803-7939
Fax: (877) 651-1335
Type: Location
1231 N Tuttle Ave
Sarasota, FL 342373116
Phone: (941) 366-0134
Fax: (866) 622-3009
Type: Location
4350 Fowler St Ste 2
Fort Myers, FL 339012600
Phone: (239) 837-8187
Fax: (855) 576-5116
Type: Location
3251 3rd Ave N Rm 125
St Petersburg, FL 337138549
Phone: (727) 498-4969
Fax: (855) 896-5258
Type: Location
4758 Rowan Rd
New Port Richey, FL 346535601
Phone: (727) 312-2040
Fax: (888) 806-9655
Type: Location
1125 N Nova Rd
Daytona Beach, FL 321174108
Phone: (386) 274-7651
Fax: (877) 242-5455
Type: Location
1825 Hurlburt Rd Ste 14
Fort Walton Beach, FL 325473737
Phone: (850) 610-8820
Fax: (844) 297-8690
Type: Location
1224 Del Prado Blvd S Ste A
Cape Coral, FL 339903670
Phone: (239) 945-9401
Fax: (877) 370-2835
Type: Location
315 SE 14th St
Fort Lauderdale, FL 333161929
Phone: (754) 701-6920
Fax: (855) 643-6201
Type: Location
201 N Dixie Hwy
Lake Worth, FL 334603079
Phone: (561) 867-9991
Fax: (800) 755-8631
Type: Location
427 Washington Ave
Miami Beach, FL 331396617
Phone: (305) 514-0813
Fax: (855) 235-4811
Type: Location
126, East Oakland Park Boulevard, Oakland Park, Broward County, Florida, 33334, United States
OAKLAND PARK, FL 333342148
Phone: (410) 949-7888
Type: Mailing
1951, Northwest 34th Street, Royal Palm Isles, Oakland Park, Broward County, Florida, 33309, United States
OAKLAND PARK, FL 333095744
Phone: (410) 949-7888
Type: Location
PO BOX 1000
MEMPHIS, TN 381480001
Phone: (941) 300-4440
Fax: (941) 404-1760
Type: Mailing
1301 W COLONIAL DR
ORLANDO, FL 328047133
Phone: (407) 246-1946
Fax: (855) 895-5749
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20250725000991	I	Clinical Social Worker	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33765)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6305883133View full group profile

Name	Specialty	State
DR. TANESHIA MCCLENDON (DNP, APRN, FNP-C)	Nurse Practitioner	FL
KATHERINE EUGENIA ROGERS (NP)	Nurse Practitioner	FL
MRS. CASSANDRA GALLAGHER (LCSW)	-	FL
ARCHER E GRIMLEY (MD)	Family Practice	AZ
DOUGLAS A SR. WALSH (D.O.)	-	FL
DR. MATTHEW P THOMAS (MD)	P S Y C H I A T R Y	FL
DR. STEVEN K BARNETT (MD)	Family Practice	AZ
ANGEL I RIBO (PA)	-	FL
BONNIE BOYETTE-PETERSON (APRN-C)	-	FL
ANGELA MICHELLE DUNCAN (APRN)	Nurse Practitioner	FL