TERRI FITZGIBBON M SW
NPI 1346325495
Social Worker - Clinical in Brookfield, WI

Q: What is Terri Fitzgibbon's NPI number?

The NPI number for Terri Fitzgibbon is 1346325495. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Terri Fitzgibbon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Terri Fitzgibbon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment

2515 N 124TH ST, STE 101, BROOKFIELD, WI 53005(262) 641-4347(262) 641-4350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Terri Fitzgibbon M Sw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRI FITZGIBBON M SW (NPI 1346325495) is an individual clinical provider in Brookfield, Wisconsin, licensed in Wisconsin (2220-123) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1346325495

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTERRI FITZGIBBONCredential: M SW

Location Address2515 N 124TH ST, STE 101Brookfield, WI 53005

Mailing Address2515 N 124th St, Ste 101Brookfield, WI 53005 · (262) 641-4347 · Fax (262) 641-4350

Phone(262) 641-4347

Fax(262) 641-4350

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346325495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 2220-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2515 N 124TH ST, Brookfield, WI 53005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terri Fitzgibbon M Sw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052302171

PECOS Enrollment IDI20040519000234

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE L GENIN LCSW

Social Worker (Clinical)