Michelle Fitzgerald, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801093890 Issued in MI

Practice address

1050 36TH St SE Ste 400
Grand Rapids, MI 49508-5581

Phone

(616) 965-8074

Fax

(616) 574-7966

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1417342767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034748",
            "telephone_number": "616-235-7272",
            "fax_number": "616-454-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 36TH ST SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085581",
            "telephone_number": "616-965-8074",
            "fax_number": "616-574-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaida Celeste Fitzgerald, M.D.
• James Scott Fitzgerald, D.O.
• Kennedy Claire Fitzgerald, DC
• Kevin Edward Fitzgerald, MD
• Marcia A Fitzgerald, PA-C
• Parker Ross Fitzgerald, MD
• Robert K Fitzgerald, MD
• Kristen Ann Fitzpatrick, LMSW
• Matthew Robert Fitzpatrick, PA-C
• Megan J Fitzpatrick, ANP-BC. M.S.

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.