JOHN EVERETT FITZGERALD (NPI# 1205111689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205111689 |
| Entity Type | Individual |
| Full Name | JOHN EVERETT FITZGERALD |
| Credential | LCSW |
| Practice Address |
14 Wayaka Ln Otisfield ME 04270-6432 |
| Practice Telephone | 2076273109 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC7031 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | SOCIAL WORK LICENSE | LC7031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769189 | John Fitzgerald | Dentist | 26 Bee Street Msc 507 Dental Clinic Room 550, Charleston, SC 29425-0001 | 2019-06-19 |
| 1447784285 | John Fitzgerald | Counselor | 450 5th St, Suite E, Lake Oswego, OR 97034-3059 | 2017-04-19 |
| 1679810329 | John M Fitzgerald | Pharmacist | 5473 Ne St James Dr, Port St Lucie, FL 34983 | 2013-01-14 |
| 1568603447 | John Fitzgerald | Chiropractor | 7355 Bermuda Island St, Las Vegas, NV 89123-1172 | 2009-03-23 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1790815181 | John Alvin Fitzgerald | Pharmacist | 437 Main St., Jordan, MT 59337-0005 | 2007-03-06 |
| 1184642357 | John J Fitzgerald IIi | Obstetrics & Gynecology | 721 Arbor Way Ste 103, Blue Bell, PA 19422-1974 | 2006-07-17 |
| 1821056177 | John James Fitzgerald | Acupuncturist | 6450 1st Ave N, St Petersburg, FL 33710-8402 | 2006-05-03 |
| 1801861182 | John Michael Fitzgerald | Optometrist | 19000 Soledad Cyn Rd, Santa Clarita, CA 91351-3362 | 2006-02-21 |
| 1992324974 | John Dennis Fitzgerald | Pharmacist | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2020-04-10 |
| Street Address |
14 WAYAKA LN |
| City | OTISFIELD |
| State | ME |
| Zip Code | 04270-6432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053646695 | Vicky R Yarnish | Contractor | 39 Breton Lane, Oxford, ME 04270 | 2009-10-15 |
| 1881886760 | Ronald K Melendy | Social Worker | 43 Pottle Road, Oxford, ME 04270 | 2007-08-14 |
| 1871673574 | Paul B Murphy | Social Worker | 143 Pottle Rd, Tri County Mental Health Services, Oxford, ME 04270 | 2006-10-17 |
| 1447340468 | Terri Quatrano Simpson | Social Worker | 143 Pottle Road, Oxford, ME 04270 | 2006-10-13 |
| 1356439863 | Wal-mart Stores East, Lp | Technician/Technologist | 1240 N. Main St. Route 26, Oxford, ME 04270 | 2006-10-10 |
| 1821283755 | Arlen C Riis | Counselor | 143 Pottle Road, Oxford, ME 04270 | 2007-09-13 |
| 1396394730 | Wayne Robichaud | Taxi | 72 School House Rd, Oxford, ME 04270-3110 | 2019-09-09 |
| 1639287022 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 1603 Main St, Oxford, ME 04270-3329 | 2006-08-27 |
| 1457972036 | Gemma Rogers | Counselor | 143 Pottle Rd, Oxford, ME 04270-3362 | 2020-05-05 |
| 1639657893 | Sarah Walcott | Social Worker | 143 Pottle Rd, Oxford, ME 04270-3362 | 2018-07-31 |
| Find all providers in zip 04270 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962790196 | Donna E. Flynn | Social Worker | 45 Sherwood Dr, Otisfield, ME 04270-7437 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578457 | Julia L Orr | Social Worker | 20 Cheverus Rd, Cape Elizabeth, ME 04107-1204 | 2020-11-06 |
| 1265032957 | Randy Neblett | Social Worker | 104 Main St Unit 1105, Blue Hill, ME 04614-1743 | 2020-10-30 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1508471095 | Tighe Blackadar | Social Worker | 46 Evans Rd, Bridgton, ME 04009-3957 | 2020-09-10 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1295348894 | Alicyn Faythe Romprey | Social Worker | 5 Bragdon Ln, Kennebunk, ME 04043-7262 | 2020-08-25 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1699383315 | Tracy Flagg | Social Worker | Sacopee Valley Middle School, 137 South Hiram Rd, Hiram, ME 04041 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.