Individual provider Active NPI

Alicia L Fitzpatrick, LCSW

  • Clinical Social Worker
  • Whitehouse, TX
National Provider Identifier
1871487330
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17374 Issued in OR
Practice address
503 Virginia CT
Whitehouse, TX 75791-3142
Phone
(940) 600-3278
NPI assigned
Jun 6, 2025
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L17374 OR Primary
Clinical Social Worker 1041C0700X 15795 CT
Clinical Social Worker 1041C0700X 8171384 ID
Clinical Social Worker 1041C0700X CSW.09932337 CO
Social Worker 104100000X LCSW00001431 KY
Clinical Social Worker 1041C0700X 64421 TX
Social Worker 104100000X I.2507200 OH
Clinical Social Worker 1041C0700X 0904019836 VA

Addresses

Primary practice location

503 Virginia CT
Whitehouse, TX 75791-3142

Mailing address

503 Virginia CT
Whitehouse, TX 75791-3142
Phone (940) 600-3278

Other practice location 1

4600 McAuley Pl Ste 600
Blue Ash, OH 45242-4778
Phone (513) 853-8520

Other practice location 2

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, OH, KY, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250908003223 TX Practitioner - Clinical Social Worker 1658873690 Reassigns benefits to 1 organization
I20251204004364 OR Practitioner - Clinical Social Worker 1658873690 Reassigns benefits to 1 organization
I20260320002708 OH Practitioner - Clinical Social Worker 1658873690 Reassigns benefits to 6 organizations
I20260325002760 KY Practitioner - Clinical Social Worker 1658873690 Reassigns benefits to 1 organization
I20260327000088 VA Practitioner - Clinical Social Worker 1658873690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 576-4589

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64421TXMDProfessional Counselor
LCSW00001431KYMDSocial Worker
I.2507200OHMDSocial Worker
CSW.09932337COMDClinical Social Worker
15795CTMDClinical Social Worker
8171384IDMDClinical Social Worker
L17374ORMDClinical Social Worker
0904019836VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Nov 7, 2025 Accepting new patients
Marion County CurrentSince Nov 7, 2025 Accepting new patients
US Televero Health PA CurrentSince Jun 26, 2025 Accepting new patients

Locations

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1871487330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 VIRGINIA CT",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913142",
            "telephone_number": "940-600-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 VIRGINIA CT",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913142",
            "telephone_number": "940-600-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 McAuley Pl Ste 600",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424778",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "ALICIA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17374",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8171384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932337",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "LCSW00001431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64421",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2507200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

Verify at the official NPI Registry.