Provider Demographics
NPI:1235529413
Name:FITZGERALD, CHRISTINE (MSSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SKY LN
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-7017
Mailing Address - Country:US
Mailing Address - Phone:617-935-6228
Mailing Address - Fax:
Practice Address - Street 1:411 CHANDLER STREET
Practice Address - Street 2:ARBOUR COUNSELING
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602
Practice Address - Country:US
Practice Address - Phone:508-799-0668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1174241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical