Individual provider Active NPI

Karen Elizabeth Fitzpatrick, LMSW

  • Social Worker
  • Bellerose, NY
National Provider Identifier
1013766682
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
078416 Issued in NY
Practice address
7403 Commonwea;TH Blvd.
Bellerose, NY 11426
Phone
(646) 648-0789
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 078416 NY Primary

Addresses

Primary practice location

7403 Commonwea;TH Blvd.
Bellerose, NY 11426

Mailing address

1520 202ND St Apt 2E
Bayside, NY 11360-1005
Phone (516) 978-1155

Other practice location 1

1520 202nd St Apt 2E
Bayside, NY 11360-1005
Phone (516) 978-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
078416NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1013766682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 202ND ST APT 2E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601005",
            "telephone_number": "516-978-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 COMMONWEA;TH BLVD.",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "11426",
            "telephone_number": "646-648-0789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 202nd St Apt 2E",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113601005",
            "country_code": "US",
            "telephone_number": "516-978-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.