Active NPIIndividual provider

Mrs. Ann B Fitzgerald, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1538222716
Practice location
10 Cabot RD Fl 1, Medford, MA 02155-5177
Fax
781-393-5168
Last updated
November 20, 2015

Ann Bergan Fitzgerald is a Social Worker, Clinical based in Medford, MA. Ann Bergan Fitzgerald practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Ann Bergan Fitzgerald is 1538222716 and holds a License No. 110624 (MA). The current practice location address for Ann Bergan Fitzgerald is 10 Cabot RD Fl 1, Medford, MA 02155-5177 and can be reached out via phone at 781-393-5152 and via fax at 781-393-5168.

Provider Profile Details

NPI Number
1538222716
Provider Name
Ann Bergan Fitzgerald
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
10 Cabot RD Fl 1, Medford, MA 02155-5177
Phone Number
781-393-5152
Fax Number
781-393-5168
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Ann Gretchen Bergan (Former Name)
Provider Enumeration Date
December 18, 2006
Last Update Date
November 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Cabot RD Fl 1
Medford, MA 02155-5177
Zip
02155-5177
Phone Number
781-393-5152
Fax Number
781-393-5168
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
173 Chelsea St
Everett, MA 02149
City
Everett
State
MA
Zip
02149
Phone Number
781-861-0890

License Information

License Number
110624
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. Ann B Fitzgerald, LICSW?

The NPI number of Mrs. Ann B Fitzgerald, LICSW is 1538222716. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ann B Fitzgerald, LICSW?

Mrs. Ann B Fitzgerald, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110624.

Where does Mrs. Ann B Fitzgerald, LICSW practice?

The practice location is 10 Cabot RD Fl 1, Medford, MA 02155-5177. The office can be reached at 781-393-5152 (phone) or 781-393-5168 (fax).

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 1538222716 directly on the NPPES registry website.

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