Kenneth David Fitzgerald in North Babylon - Clinical
Kenneth David Fitzgerald - NPI 1548345168
Kenneth David Fitzgerald is a Clinical in North Babylon, New York. Kenneth David Fitzgerald practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth David Fitzgerald is 1548345168. The last update date is 2013-03-06.
Kenneth David Fitzgerald's current location address is 72 Rutledge Rd, North Babylon, New York. You can contact this provider via phone number 6317215716. The mailing address for Kenneth David Fitzgerald is 72 Rutledge Rd, North Babylon, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth David Fitzgerald |
|---|---|
| Address | 72 Rutledge Rd, North Babylon, New York |
| Phone Number | 6317215716 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1548345168 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2013-03-06 |
Provider Mailing Address Detail
| Address | 72 Rutledge Rd |
|---|---|
| City | North Babylon |
| State | New York (NY) |
| Post Code | 117033916 |
| Phone Number | 6317215716 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Kenneth David Fitzgerald by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth David Fitzgerald has been assigned the NPI (National Provider Identifier) 1548345168. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kenneth David Fitzgerald?
The Kenneth David Fitzgerald is situated at 72 Rutledge Rd, in the city of North Babylon, state of NY, with the zip code 117033916.
What is Kenneth David Fitzgerald's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth David Fitzgerald is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1548345168 assigned to Kenneth David Fitzgerald?
The Kenneth David Fitzgerald was issued its 1548345168 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth David Fitzgerald's details last updated?
The information pertaining to the Kenneth David Fitzgerald, including its address, specialty, and other details, was most recently updated on 2013-03-06.