Chakatria Johnson Fitzgerald, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8622 Issued in TN

Practice address

5200 Park Ave Ste 202
Memphis, TN 38119-3505

Phone

(901) 676-2026

Fax

(901) 676-2027

NPI assigned

Nov 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affinity Home Care, Inc

  • In Home Supportive Care Agency
  • Vidalia, LA
  • NPI 1104195338
  NPD
• Affinity Home Care, Inc

  • In Home Supportive Care Agency
  • Vidalia, LA
  • NPI 1730461013
  NPD

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1093589061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 BRECKENWOOD DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381272152",
            "telephone_number": "318-719-0801",
            "fax_number": "601-962-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193505",
            "telephone_number": "901-676-2026",
            "fax_number": "901-676-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CHAKATRIA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q038772",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edwin Fisher, DPO
• Tiffany Latreece Fisher, MD
• Cara C Fisk, CRNA
• Kristin Fitchpatric, NP
• Michelle Fite-Weatheford, RN, BSN
• Debra Boydston Fitzgerald, LPC
• Terry Lynn Fitzgerald, BS MBA HEALTHCARE MG
• Adam Fitzhugh, D.D.S.
• Simran Flagg
• Detrice Flake, PMHNP

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.