Active NPI
Joseph Murray Fitzgerald Jr., LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1609888239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CT003237
- Practice address
- 200 Orchard St
Suite 301
New Haven, CT 06511 - Phone
- (203) 789-0560
- Fax
- (203) 624-9672
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT003237 | CT | Primary |
Addresses
Primary practice location
200 Orchard St
Suite 301
New Haven, CT 06511
Mailing address
200 Orchard St
Suite 301
New Haven, CT 06511
Phone (203) 789-0560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10743114 | Other | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003237 | CT | MD | Clinical Psychologist |
| CT003237 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Greten Psychotherapy, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609888239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ORCHARD ST",
"address_2": "SUITE 301",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-789-0560",
"fax_number": "203-624-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ORCHARD ST",
"address_2": "SUITE 301",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-789-0560",
"fax_number": "203-624-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "JOSEPH",
"middle_name": "MURRAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "CT003237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10743114",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- 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.