Individual
MS. KATHLEEN MARIE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 CONNETQUOT RD, OAKDALE, NY 11769-2146
(631) 563-9085
Mailing address
202 CONNETQUOT RD, OAKDALE, NY 11769-2146
(631) 457-9044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
055004-1
NY
1041C0700X
Clinical Social Worker
Primary
103141-01
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/15/2015
Last updated
06/02/2026
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