Matthew Fitzpatrick

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW141943 Issued in PA

Practice address

5546 Irving St
Philadelphia, PA 19139-3928

Phone

(215) 809-0437

NPI assigned

Jun 4, 2024

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1407697345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 IRVING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393928",
            "telephone_number": "215-809-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 IRVING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393928",
            "telephone_number": "215-809-0437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E Allen St Unit 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191254189",
            "country_code": "US",
            "telephone_number": "215-809-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanmarie Fitzpatrick
• Kaleigh Anne Fitzpatrick, MSN, CRNP, AGACNP-BC
• Kanitra Rasheen Fitzpatrick, CRNP
• Kerry Fitzpatrick, LCSW, CAADC, ICGC-1
• Mary Kate Fitzpatrick, CRNP
• Erin Fitzsimmons, PSYD
• Megan Colleen Fitzsimmons, CRNP
• Jennifer M. Fitzula, CRNP
• Marceline Angela Fitzwilliam, PHARMD
• Five Star Companion Care, LLC.

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.