Jenna T Fitzpatrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016148 Issued in IL

Practice address

5311 W Newport Ave
Chicago, IL 60641-3333

Phone

(518) 330-6503

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jenna T Zito Former name

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1215247366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 W NEWPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 W NEWPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413333",
            "telephone_number": "518-330-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JENNA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074652-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080606-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "ZITO",
            "middle_name": "T",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra E Fitzpatrick
• Anaise Chai Fitzpatrick
• Caitlin Fitzpatrick
• Gabriela Fitzpatrick, PHYSICIAN ASSISTANT
• Jenna Marie Fitzpatrick
• John Fitzpatrick
• John Joseph Fitzpatrick, MD
• Kathleen Ann Fitzpatrick, P.T.
• Lindsay Fitzpatrick, PA-C
• Michael John Fitzpatrick

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.