Active NPI
Scott Matthew Fitzgerald, LCSW
- Clinical Social Worker
- Westbrook, ME
National Provider Identifier
1821007329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC10353
- Practice address
- 123 Andover Rd
Westbrook, ME 04092-3848 - Phone
- (207) 761-2200
- Fax
- (207) 842-7773
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | LC10353 | ME | Primary |
Addresses
Primary practice location
123 Andover Rd
Westbrook, ME 04092-3848
Mailing address
123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 761-2200
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 |
|---|---|---|---|
| LC10353 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821007329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923848",
"telephone_number": "207-761-2200",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ANDOVER RD",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923848",
"telephone_number": "207-761-2200",
"fax_number": "207-842-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "SCOTT",
"middle_name": "MATTHEW",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC10353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
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.