Stacie E Fitzgerald, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002696 Issued in GA

Practice address

1105 W. Peachtree Street N.E.
Families First
Atlanta, GA 30309

Phone

(404) 853-2811

Fax

(404) 685-0204

NPI assigned

Sep 15, 2005

Last updated

Jan 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1205821188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W. PEACHTREE STREET N.E.",
            "address_2": "FAMILIES FIRST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-853-2811",
            "fax_number": "404-685-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W. PEACHTREE STREET N.E.",
            "address_2": "FAMILIES FIRST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-853-2811",
            "fax_number": "404-685-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "STACIE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069620-1 R",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• India Tamaya Fitz
• Kelleen C Fitzgerald, M.D.
• Kelly Ann Fitzgerald, DPT
• Linea B. Fitzgerald, MPT
• Paul Fitzgerald
• Tafari David Fitzgerald
• Anne M Fitzpatrick, PNP
• Erin Fitzpatrick, PT, DPT
• Jill Dalovisio Fitzpatrick, PA
• Margaret Patricia Fitzpatrick, LICSW

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.