Kathleen Elizabeth Fitzjefferies, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006860 Issued in NC

Practice address

601 N Cherry St
Winston Salem, NC 27101-2939

Phone

(336) 748-4025

Fax

(336) 748-4108

NPI assigned

May 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1295028165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012939",
            "telephone_number": "336-748-4025",
            "fax_number": "336-748-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012939",
            "telephone_number": "336-748-4025",
            "fax_number": "336-748-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZJEFFERIES",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006860",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Fitts
• Alyssa Pearl Fitzgerald
• David Michael Fitzgerald, MD
• Kathleen Perry Fitzgerald, NNP-BC
• Milissa Johnson Fitzgerald, PA-C, MS
• Janelle Fitzjohn, MS, RD, LDN
• Mary Joanna Fitzmaurice, CNM
• Thomas H Fitzpatrick IV, MD
• Five Star Quality Care - Obx Operator, LLC
• April Lynn Fjeld

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.