Individual provider Active NPI

Dawn Elizabeth Fitzpatrick, LCSW

  • Clinical Social Worker
  • Half Moon Bay, CA
National Provider Identifier
1649519232
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29232 Issued in CA
Practice address
607 Church St
Half Moon Bay, CA 94019-1903
Phone
(650) 726-7719
Fax
(650) 726-7719
NPI assigned
Feb 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29232 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) 726-7719

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

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359849600000",
    "number": "1649519232",
    "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": "650-726-7719",
            "fax_number": "650-726-7719"
        },
        {
            "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": "650-726-7719",
            "fax_number": "650-726-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29232",
            "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 Feb 3, 2013; 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.