Organization Active NPI

Fitzpatrick Counseling and Associates

  • Clinical Social Worker
  • Half Moon Bay, CA
National Provider Identifier
1538566005
Registry record updated Nov 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29232 Issued in CA
Legal business name
FITZPATRICK COUNSELING AND ASSOCIATES
Practice address
607 Church St
Half Moon Bay, CA 94019-1903
Phone
(650) 867-7425
NPI assigned
Nov 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2014

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

Authorized official

Name
Dawn Elizabeth Fitzpatrick, LCSW
Title
Sole MBR
Phone
(650) 867-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW29232 CA Primary

Addresses

Primary practice location

607 Church St
Half Moon Bay, CA 94019-1903

Mailing address

607 Church St
Half Moon Bay, CA 94019-1903
Phone (650) 867-7425

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417219200000",
    "number": "1538566005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CHURCH ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191903",
            "telephone_number": "650-867-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CHURCH ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191903",
            "telephone_number": "650-867-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZPATRICK COUNSELING AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-11-29",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "650-867-7425",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.