Provider Demographics
NPI:1548356553
Name:FITZGERALD, ELIZABETH FERRITER (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:FERRITER
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:11388 W OLYMPIC BLVD
Mailing Address - Street 2:AB 3632 ASSESSMENT UNIT
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1605
Mailing Address - Country:US
Mailing Address - Phone:310-268-2523
Mailing Address - Fax:310-235-2784
Practice Address - Street 1:11388 W OLYMPIC BLVD
Practice Address - Street 2:AB 3632 ASSESSMENT UNIT
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1605
Practice Address - Country:US
Practice Address - Phone:310-268-2523
Practice Address - Fax:310-235-2784
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS 118941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical