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

Roberta Marie Fish, LCSW

Individual provider Clinical Social Worker · NPI 1376819334

Roberta Marie Fish, LCSW is a Clinical Social Worker in Orange City, Florida. Qualified in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1642 N Volusia Ave Ste 203
Orange City, FL 32763-3842
Phone: (386) 456-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW6448 (FL)

Record details

NPI number1376819334
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address696 Torchwood Dr, Deland, FL 32724-9462

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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