Provider Demographics
NPI:1710556493
Name:FISHER, DEMPSEY BELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEMPSEY
Middle Name:BELLE
Last Name:FISHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 BOXWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:PORTALES
Mailing Address - State:NM
Mailing Address - Zip Code:88130-9356
Mailing Address - Country:US
Mailing Address - Phone:740-444-3981
Mailing Address - Fax:
Practice Address - Street 1:2220 BOXWOOD CIR
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-9356
Practice Address - Country:US
Practice Address - Phone:850-972-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2024-1226104100000X
FLSW206551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker