Kelli Fitzgerald, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.014681 Issued in IL

Practice address

638 W Kemper PL
Chicago, IL 60614-3312

Phone

(312) 420-1639

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Knop Former name

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1992052641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W KEMPER PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143312",
            "telephone_number": "312-480-5297",
            "fax_number": "708-795-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W KEMPER PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143312",
            "telephone_number": "312-420-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.014681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "KNOP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April M Fitts-Cowley, APN
• Sarah Mills Fitz, APN, ACNP-BC
• Brynn Joanna Fitzgerald
• Craig R Fitzgerald, MS
• Kathryn Fitzgerald
• Kelly Fitzgerald, APN
• Kerry Fitzgerald, DT
• Kevin S Fitzgerald, LPC
• Meghan Fitzgerald
• Paul Joseph Fitzgerald, PSY.D., LCPC

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.