Provider Demographics
NPI:1831315894
Name:FITZGERALD, ANNE LOUISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:LOUISE
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3177 OCEANVIEW BLVD.
Mailing Address - Street 2:COUNTY MENTAL HEALTH
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113-1498
Mailing Address - Country:US
Mailing Address - Phone:619-595-4400
Mailing Address - Fax:619-595-7927
Practice Address - Street 1:3177 OCEANVIEW BLVD.
Practice Address - Street 2:COUNTY MENTAL HEALTH
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-1498
Practice Address - Country:US
Practice Address - Phone:619-595-4400
Practice Address - Fax:619-595-7927
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS146511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical