DAVID FISCHER (LCSW) – Clinical Social Worker, NPI 1568853091

DAVID FISCHER (LCSW) is a healthcare provider. based in Jefferson, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 8150-123 (WI). The NPI Number for DAVID FISCHER (LCSW) is 1568853091

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DAVID FISCHER (LCSW)
NPI
1568853091
Phone
(920) 674-3105
Address
1541 Annex Rd
Enumeration Date
5 February 2015
Last Update Date
13 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083688087
Graduation Year
2011 (15 years ago)
PAC ID
4688990047
Group Practice PAC ID
1658655865
Professional Enrollment ID
I20150302000470
Address ID
WI535116314BE540XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,482 CLINICAL SOCIAL WORKER in WI

Provider Addresses for DAVID FISCHER (LCSW)

  • 1541 Annex Rd

    Jefferson, WI 535499803

    Phone: (920) 674-3105

    Type: Location

  • 25 CAMPUS LN

    JANESVILLE, WI 535452625

    Phone: (608) 290-1461

    Type: Mailing

  • 540 E GRAND AVE

    BELOIT, WI 535116314

    Phone: (608) 368-8087

    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: 2015-03-02

PECOS data refreshed: 2026-06-15

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
I20150302000470IClinical Social WorkerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour27029$0
90791Psychiatric diagnostic evaluation1918$0
View full utilization report →

Insurance plans in this area (ZIP 53549)

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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: 1658655865View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID FISCHER (LCSW)?
DAVID FISCHER (LCSW) — NPI 1568853091 — is the standard way to identify this listing.
Is DAVID FISCHER (LCSW) listed as active for patients and plans?
The listing shows DAVID FISCHER (LCSW) as active in the NPI system.
What is DAVID FISCHER (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for DAVID FISCHER (LCSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID FISCHER (LCSW) on a map?
Expect Jefferson, Wisconsin as a primary anchor for DAVID FISCHER (LCSW) unless the record lists multiple sites.
Why does DAVID FISCHER (LCSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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