Gabrielle Teresa Fitzsimmons, LCSWA-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO12271 Issued in NC

Practice address

104 N Main St Ste 200
Louisburg, NC 27549-2516

Phone

(732) 865-0114

NPI assigned

Jun 25, 2018

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1750876504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST STE 200",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "732-865-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST STE 200",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492516",
            "telephone_number": "732-865-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "GABRIELLE",
        "middle_name": "TERESA",
        "credential": "LCSWA-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO12271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Preservation Services of NC, Inc - Louisburg Elementary School
• Family Preservation Services of NC, Inc - Terrell Lane Middle School
• Family Solutions USA, Inc.
• Darlene Lynn Farrow, OT/L
• Eric Paul Faucette, CADC-R
• Taiwan Larece Fletcher
• Britany Mechelle Fogg
• Stacy Layne Fosness, M.S., C.C.C.-S.L.P.
• Lastardia Foster
• Syneca Foster

• Clinical Social Worker in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.