Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon Mark Fisher, LICSW

Individual provider Clinical Social Worker · NPI 1487820643

Jon Mark Fisher, LICSW is a Clinical Social Worker in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

3490 Lexington Ave N Ste 205
Shoreview, MN 55126-8074
Phone: (651) 486-3808
Fax: (651) 486-3858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16234 (MN)

Record details

NPI number1487820643
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 7, 2008
Last updated in NPPESMay 7, 2008

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