Individual
MRS. KIM MAXWELL FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMHC
Contact information
Practice address
3948 NEW VISION DR STE D, FORT WAYNE, IN 46845-1721
(260) 407-7285
Mailing address
4903 COVENTRY PKWY, FORT WAYNE, IN 46804-7133
(419) 559-6370
(260) 407-0094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000977A
IN
1041C0700X
Clinical Social Worker
Primary
34004143A
IN
1041C0700X
Clinical Social Worker
I 0800371
OH
Other
Enumeration date
01/23/2007
Last updated
02/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us