Provider Demographics
NPI:1588006092
Name:FITZGERALD, HOPE ANN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ANN
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:ANN
Other - Last Name:MURSCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:151 FRIES MILL RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2016
Mailing Address - Country:US
Mailing Address - Phone:856-302-1381
Mailing Address - Fax:856-302-1383
Practice Address - Street 1:151 FRIES MILL RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2016
Practice Address - Country:US
Practice Address - Phone:856-302-1381
Practice Address - Fax:856-302-1383
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04852900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker