Active NPIIndividual providerSole proprietor

Mrs. Jill Levesque Fitzgerald, LICSW

Social Worker, Clinical in Malden, Massachusetts

NPI Number1356578637
Practice location
52 Sharon St, Malden, MA 02148-5915
Fax
—
Last updated
June 15, 2009

Jill Levesque Fitzgerald is a Social Worker, Clinical based in Malden, MA. Jill Levesque Fitzgerald practices in Malden, MA and has the professional credentials of LICSW. The NPI Number for Jill Levesque Fitzgerald is 1356578637 and holds a License No. 115167 (MA). The current practice location address for Jill Levesque Fitzgerald is 52 Sharon St, Malden, MA 02148-5915 and can be reached out via phone at 781-338-8830.

Provider Profile Details

NPI Number
1356578637
Provider Name
Jill Levesque Fitzgerald
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
52 Sharon St, Malden, MA 02148-5915
Phone Number
781-338-8830
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 15, 2009
Last Update Date
June 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Sharon St
Malden, MA 02148-5915
City
Malden
Zip
02148-5915
Phone Number
781-338-8830
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
52 Sharon St
Malden, MA 02148-5915
City
Malden
State
MA
Zip
02148-5915

License Information

License Number
115167
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jill Levesque Fitzgerald, LICSW?

The NPI number of Mrs. Jill Levesque Fitzgerald, LICSW is 1356578637. It was assigned on June 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jill Levesque Fitzgerald, LICSW?

Mrs. Jill Levesque Fitzgerald, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115167.

Where does Mrs. Jill Levesque Fitzgerald, LICSW practice?

The practice location is 52 Sharon St, Malden, MA 02148-5915. The office can be reached at 781-338-8830 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356578637 directly on the NPPES registry website.

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