Provider Demographics
NPI:1255098018
Name:FITZPATRICK, KAREN MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 ESSEX HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3537
Mailing Address - Country:US
Mailing Address - Phone:781-331-6987
Mailing Address - Fax:
Practice Address - Street 1:31 ESSEX HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3537
Practice Address - Country:US
Practice Address - Phone:781-331-6987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker