Individual provider Active NPI

Giesele Francine Fitzsimmons, MSW, LICSW, LCSW

  • Clinical Social Worker
  • Bridgeport, CT
National Provider Identifier
1548587850
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010365 Issued in CT
Practice address
325 Myrtle Ave Apt 1002
Bridgeport, CT 06604-5479
Phone
(203) 241-4128
NPI assigned
Apr 26, 2010
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW01261 RI
Clinical Social Worker 1041C0700X 215973 MA
Clinical Social Worker 1041C0700X 010365 CT Primary

Addresses

Primary practice location

325 Myrtle Ave Apt 1002
Bridgeport, CT 06604-5479

Mailing address

400 Laurelwood LN
Southbury, CT 06488-4663
Phone (203) 241-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
215973MAMDClinical Social Worker
CSW01261RIMDClinical Social Worker
010365CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Spot L L C CurrentSince Jun 22, 2021 Accepting new patients
South Bay Mental Health Center, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1548587850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAURELWOOD LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884663",
            "telephone_number": "203-241-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MYRTLE AVE APT 1002",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045479",
            "telephone_number": "203-241-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "GIESELE",
        "middle_name": "FRANCINE",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215973",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.