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NPI Code Detail

MEDICARE: DORA FITZPATRICK LCSW

MEDICARE: DORA FITZPATRICK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904015972VA
21041C0700XClinical Social Worker12770-CNV
31041C0700XClinical Social WorkerSW19056FL
41041C0700XClinical Social Worker089.0136010VT

General Provider Information

NPI Number : 1104419951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORA FITZPATRICK LCSW
Provider Business Mailing Address
First Line : 6421 N FLORIDA AVE # D-1665
Second Line :
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6421 N FLORIDA AVE # D-1665
Second Line :
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 813-896-3489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 05/12/2026

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Directions to “ DORA FITZPATRICK LCSW” Practice Location

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