Active NPIIndividual providerSole proprietor

Kimberly K Fitzgerald, MSW, LICSW

Social Worker, Clinical in Brewster, Massachusetts

NPI Number1598055113
Practice location
6 Granite State CT, Brewster, MA 02631-2127
Fax
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Last updated
March 3, 2022

Kimberly Katherine Fitzgerald is a Social Worker, Clinical based in Brewster, MA. Kimberly Katherine Fitzgerald practices in Brewster, MA and has the professional credentials of MSW, LICSW. The NPI Number for Kimberly Katherine Fitzgerald is 1598055113 and holds a License No. 000124707 (MA). The current practice location address for Kimberly Katherine Fitzgerald is 6 Granite State CT, Brewster, MA 02631-2127 and can be reached out via phone at 508-827-1220.

Provider Profile Details

NPI Number
1598055113
Provider Name
Kimberly Katherine Fitzgerald
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
6 Granite State CT, Brewster, MA 02631-2127
Phone Number
508-827-1220
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Kimberly K Ernst, BSW (Former Name)
Provider Enumeration Date
April 15, 2011
Last Update Date
March 3, 2022
Certification Date
March 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Granite State CT
Brewster, MA 02631-2127
Zip
02631-2127
Phone Number
508-827-1220
Brewster, MA 02631Get directions →

Provider Business Mailing Address Details

Address
Po Box 1393
South Yarmouth, MA 02664-7393
City
South Yarmouth
State
MA
Zip
02664-7393
Phone Number
508-364-1182

License Information

License Number
000124707
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 Kimberly K Fitzgerald, MSW, LICSW?

The NPI number of Kimberly K Fitzgerald, MSW, LICSW is 1598055113. It was assigned on April 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Kimberly K Fitzgerald, MSW, LICSW?

Kimberly K Fitzgerald, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000124707.

Where does Kimberly K Fitzgerald, MSW, LICSW practice?

The practice location is 6 Granite State CT, Brewster, MA 02631-2127. The office can be reached at 508-827-1220 (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 1598055113 directly on the NPPES registry website.

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