Active NPI
Christina Maria Fitzsimmons, LCSW
- Clinical Social Worker
- Ridgewood, NJ
National Provider Identifier
1073783957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05277500
- Practice address
- 20 Wilsey SQ
Suite C
Ridgewood, NJ 07450-3793 - Phone
- (201) 445-1068
- Fax
- (201) 445-7995
- NPI assigned
- Mar 6, 2008
- Last updated
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05277500 | NJ | Primary |
Addresses
Primary practice location
20 Wilsey SQ
Suite C
Ridgewood, NJ 07450-3793
Mailing address
1450 Palisade Ave
Apt. 1-I
Fort Lee, NJ 07024-5212
Phone (201) 917-5369
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05277500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1073783957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 PALISADE AVE",
"address_2": "APT. 1-I",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245212",
"telephone_number": "201-917-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"address_2": "SUITE C",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793",
"telephone_number": "201-445-1068",
"fax_number": "201-445-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "CHRISTINA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05277500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.