MEDICARE: DARBY RENEE 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
1	1041C0700X	Clinical Social Worker	44SC06636400	NJ

General Provider Information

NPI Number	:	1871435511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARBY RENEE FITZPATRICK LCSW

Provider Business Mailing Address
First Line	:	115 E COLUMBINE RD
Second Line	:
City	:	WILDWOOD
State	:	NJ
Zip	:	08260-4147
Country	:	US
Telephone Number	:	609-822-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 VENTNOR AVE
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2218
Country	:	US
Telephone Number	:	609-822-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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