DENISE MARY FITZGERALD (NPI# 1669415139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669415139 |
| Entity Type | Individual |
| Full Name | DENISE MARY FITZGERALD |
| Credential | LCSW |
| Practice Address |
2205 Phyllis St Bentonville AR 72712-6490 |
| Mailing Address |
Po Box 6430 Springdale AR 72766-6430 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4798452109 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4798452109 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1761-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE SHIELD PROVIDER # | 5X504 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508887381 | Denise Fitzgerald | Nurse Practitioner | 12 Brook Valley Dr, Rochester, NY 14624-5348 | 2006-07-21 |
| 1487756557 | Denise Fitzgerald | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-6227 | 2006-09-01 |
| Street Address |
2205 PHYLLIS ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520894 | Deborah Lynn Oxner | Registered Nurse | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-05-31 |
| 1467842062 | Krysta Young | Counselor | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2015-02-03 |
| 1477702470 | Ellen Ann Burleson | Counselor | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2008-09-15 |
| 1609818814 | Chris Andre Pulliam | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-12 |
| 1114965639 | Scott Charles Koenig | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-04 |
| 1245277748 | Angelika Aloisia Will | Genetic Counselor, MS | 2205 Phyllis St, Bentonville, AR 72712-6490 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| 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 |
|---|---|---|---|---|
| 1457969735 | Britt Kristin Gjeruldsen | Social Worker | 9610 E Plentywood Rd, Bentonville, AR 72712-8828 | 2020-07-22 |
| 1346890027 | Creative Counseling Center of Nwa, Pllc | Social Worker | 902 Mcclain Rd Ste 6003, Bentonville, AR 72712-6379 | 2019-09-16 |
| 1972967412 | Ask Wellness Center,llc | Social Worker | 1803 Sw Regional Airport Blvd, Suite 5, Bentonville, AR 72712-7755 | 2016-04-11 |
| 1336539006 | Carol Fowler LLC | Social Worker | 3211 Sw Briar Creek Ave, Bentonville, AR 72712-7995 | 2015-02-02 |
| 1629249594 | Judith Ann Williams | Social Worker | 2003 Se Walton Blvd Ste C, Bentonville, AR 72712-3733 | 2008-03-18 |
| 1174667596 | Nancy Shin-yii Jung | Social Worker | 5105 Sw Westchester Rd, Bentonville, AR 72712-7727 | 2007-02-18 |
| 1568513281 | Kim Copps | Social Worker | 10373 Wager Rd, Bentonville, AR 72712-7255 | 2007-01-16 |
| 1164443677 | Paula L Coleman | Social Worker | 780 Buckhorn Flats Rd Ste 1, Bentonville, AR 72713-9612 | 2006-07-21 |
| 1871525071 | John Lark Shasteen | Social Worker | 1803 Sw Regional Airport Blvd Ste 5, Bentonville, AR 72712-8792 | 2006-07-07 |
| 1619942539 | Kathleen Siegenthaler | Social Worker | 9728 E Mcnelly Rd, Bentonville, AR 72712-8548 | 2006-02-22 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on DENISE MARY FITZGERALD.
| 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.