MARY FITZGERALD LICSW
NPI 1902000474
Social Worker - Clinical in Chevy Chase, MD

Active since June 11, 2007Opted out of Medicare · through Oct 1, 2026
5480 WISCONSIN AVE STE 225, CHEVY CHASE, MD 20815(202) 236-2160 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Fitzgerald Licsw NPPES

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

MARY FITZGERALD LICSW (NPI 1902000474) is an individual clinical provider in Chevy Chase, Maryland, licensed in Maryland (10455) and active in the NPI registry since June 2007. She has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1902000474
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY FITZGERALDCredential: LICSW
Location Address5480 WISCONSIN AVE STE 225Chevy Chase, MD 20815-3503
Mailing Address5480 Wisconsin Ave Ste 225Chevy Chase, MD 20815-3503 · (202) 236-2160
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateNovember 15, 2018
NPI 1902000474 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 MD · 10455
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.
5480 WISCONSIN AVE STE 225, Chevy Chase, MD 20815

Secondary Practice Location 1

Location 14501 Connecticut Ave NW, Suite 217Washington, DC 20008 · Phone (202) 236-2160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary Fitzgerald Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker
5480 WISCONSIN AVE STE 225
CHEVY CHASE, MD 20815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fitzgerald's NPI number?

The NPI number for Mary Fitzgerald is 1902000474. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Mary Fitzgerald located?

Mary Fitzgerald practices at 5480 Wisconsin Ave Ste 225, Chevy Chase, MD 20815. The listed phone number is (202) 236-2160.

What is Mary Fitzgerald's specialty?

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

Is Mary Fitzgerald enrolled in Medicare?

No. Mary Fitzgerald has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Fitzgerald was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.