Individual
VINCENT JOHN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
910 BERGEN AVE BOX 195, JERSEY CITY, NJ 07306
(201) 400-9156
Mailing address
290 SIP AVE, JERSEY CITY, NJ 07306-6511
(201) 400-9156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05737200
NJ
104100000X
Social Worker
Primary
44SL05372900
NJ
Other
Enumeration date
10/24/2014
Last updated
07/06/2026
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