Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kerry Fitzpatrick, LCSW, CAADC, ICGC-1

Individual provider Clinical Social Worker · NPI 1952057622

Kerry Fitzpatrick, LCSW, CAADC, ICGC-1 is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 S Broad St Ste 2230
Philadelphia, PA 19110-1021
Phone: (267) 704-9669
Fax: (267) 541-2658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW025729 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19803 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC06680600 (NJ)

Record details

NPI number1952057622
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CAADC , ICGC-1
Sole proprietorYes
NPI enumeratedFebruary 22, 2022
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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