Sean Kevin Fitzpatrick, MSW
Individual provider Active NPI Mental Health Counselor · Whiteman Afb, MO
NPI 1720071418 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1720071418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 005969 (MO)
- Practice address
- 331 Sijen Ave
Whiteman Afb, MO 65305-1269 - Phone
- (660) 687-4341
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005969 | MO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005969 | MO | Yes |
Addresses
Primary practice location
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Mailing address
331 Sijen Ave BLDG 2032
Whiteman Afb, MO 65305-1269
Phone (660) 687-4341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005969 | Other | MO | LICENSE # |
| 005969 | Other | MO | MO LICENSE BOARD |
Other providers in Whiteman Afb, MO
- Adam J Egge
- Elisabeth Estep
- Bianca Felan
- Sheontee Ferebee
- Holly Denise Fitzpatrick
- Stephanie Ann Forsythe
- James Pearce Fowler
- Margaret Joan Garner
- Kelsey Geiger
- Ron Giles
All providers in Whiteman Afb, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. 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.