AMANDA FISHER (LCSW) – Clinical Social Worker, NPI 1942053616

AMANDA FISHER (LCSW) is a healthcare provider. based in Decatur, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149027004 (IL). The NPI Number for AMANDA FISHER (LCSW) is 1942053616

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA FISHER (LCSW)
NPI
1942053616
Phone
(217) 422-0027
Address
2580 E FEDERAL DR STE 403
Enumeration Date
10 April 2024
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178090429
Graduation Year
2018 (8 years ago)
PAC ID
5092251025
Group Practice PAC ID
8426065186
Professional Enrollment ID
I20240725002520
Address ID
IL625262189DE2580XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for AMANDA FISHER (LCSW)

  • 2580 E FEDERAL DR STE 403

    DECATUR, IL 625262189

    Phone: (217) 422-0027

    Mailing address matches the actual address.

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: 2024-07-25

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240725002520IClinical Social WorkerILTBD

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 62526)

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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: 8426065186View full group profile
NameSpecialtyState
Clinical PsychologistIL
P S Y C H I A T R YIL
-IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What federal number belongs to AMANDA FISHER (LCSW)?
The federal identifier for AMANDA FISHER (LCSW) is NPI 1942053616.
Does this profile mean AMANDA FISHER (LCSW) is currently active?
Yes — AMANDA FISHER (LCSW) appears active in the national provider directory.
What does AMANDA FISHER (LCSW) treat or focus on?
Patients typically see AMANDA FISHER (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does AMANDA FISHER (LCSW) practice in Illinois?
You will see Decatur, Illinois on file for AMANDA FISHER (LCSW) alongside any extra practice locations.
What if Decatur, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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