Active NPI
Dora Fitzpatrick, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1104419951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19056
- Practice address
- 6421 N Florida Ave # D-1665
Tampa, FL 33604-6007 - Phone
- (813) 896-3489
- NPI assigned
- Feb 12, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904015972 | VA | |
| Clinical Social Worker | 1041C0700X | 12770-C | NV | |
| Clinical Social Worker | 1041C0700X | SW19056 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 089.0136010 | VT |
Addresses
Primary practice location
6421 N Florida Ave # D-1665
Tampa, FL 33604-6007
Mailing address
6421 N Florida Ave # D-1665
Tampa, FL 33604-6007
Other names 1
- Dora G Niemiera
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW19056 | FL | MD | Clinical Social Worker |
| 12770-C | NV | MD | Clinical Social Worker |
| 0904015972 | VA | MD | Clinical Social Worker |
| 089.0136010 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Self-Care, LLC | Current | Accepting new patients |
Locations
6421 N Florida Ave
Tampa, FL 33604
Phone (813) 305-2867
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- NPI 1932053865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1104419951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 N FLORIDA AVE # D-1665",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 N FLORIDA AVE # D-1665",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046007",
"telephone_number": "813-896-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "DORA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015972",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12770-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19056",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0136010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORA",
"last_name": "NIEMIERA",
"middle_name": "G",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.