Kimberly Katherine Fitzgerald, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Brewster, MA
NPI 1598055113 · NPPES record last updated Mar 3, 2022
Key facts
- NPI
- 1598055113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000124707 (MA)
- Practice address
- 6 Granite State CT
Brewster, MA 02631-2127 - Phone
- (508) 827-1220
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000124707 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Fitzgerald, Licsw Inc | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000124707 | MA | Yes |
Addresses
Primary practice location
6 Granite State CT
Brewster, MA 02631-2127
Mailing address
PO Box 1393
South Yarmouth, MA 02664-7393
Phone (508) 364-1182
Other names
- Kimberly K Ernst
Other providers in Brewster, MA
- Epoch of Brewster, LLC
- Epoch of Brewster, LLC
- Sharon G. Ervin
- Fran Farnsworth
- Rebecca Fischer
- Susan Anthony Fredrickson
- Richard Gardiner
- Geriatric Facilities of Cape Cod, Inc.
- Jane Orkin Glazer
- Barbara M Gleason
All providers in Brewster, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.