Active NPI
Brittany Lee Fitzgerald, LICSW
- Social Worker
- South Yarmouth, MA
National Provider Identifier
1194071688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123125
- Practice address
- 59 Driftwood LN
South Yarmouth, MA 02664-1011 - Phone
- (508) 280-1359
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2204102-SUPV | OH | |
| Social Worker | 104100000X | 123125 | MA | Primary |
Addresses
Primary practice location
59 Driftwood LN
South Yarmouth, MA 02664-1011
Mailing address
59 Driftwood LN
South Yarmouth, MA 02664-1011
Phone (508) 280-1359
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 |
|---|---|---|---|
| 123125 | MA | MD | Social Worker |
| I.2204102-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1194071688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 DRIFTWOOD LN",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026641011",
"telephone_number": "508-280-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 DRIFTWOOD LN",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026641011",
"telephone_number": "508-280-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "BRITTANY",
"middle_name": "LEE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2204102-SUPV",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "123125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.