Eugene Fitzgerald, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057023-1 Issued in NY

Practice address

3312 Surf Ave
Brooklyn, NY 11224-1406

Phone

(718) 449-4000

Fax

(718) 372-7328

NPI assigned

Mar 14, 2007

Sex

Male

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

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568595726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HOYT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012627",
            "telephone_number": "718-727-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241406",
            "telephone_number": "718-449-4000",
            "fax_number": "718-372-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "EUGENE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057023-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Fitz, L.AC., MSTOM
• Bridget Mary Fitzgerald, PSY.D.
• Claudette Fitzgerald
• Colleen Fitzgerald, LMSW
• Courtney Fitzgerald, SLP
• Jane Fitzgerald
• Jill Elizabeth Fitzgerald, LCSW
• Paul Thomas Fitzgerald, LCSW
• Simon Michael Fitzgerald, MPH
• Teona Fitzgerald

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.