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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KERRY FITZPATRICK LCSW, CAADC, ICGC-1
NPI 1952057622
Social Worker - Clinical in Philadelphia, PA

Active since February 22, 2022
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110(267) 704-9669(267) 541-2658 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 3, 2026, Feb 22, 2022 (2 updates tracked since 2022).

About Kerry Fitzpatrick Lcsw, Caadc, Icgc-1 NPPES

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

KERRY FITZPATRICK LCSW, CAADC, ICGC-1 (NPI 1952057622) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW025729) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1952057622
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY FITZPATRICKCredential: LCSW, CAADC, ICGC-1
Location Address100 S BROAD ST STE 2230Philadelphia, PA 19110-1021
Mailing Address1700 Market St Ste 1005Philadelphia, PA 19103-3920 · (215) 687-8266
Phone(267) 704-9669
Fax(267) 541-2658
Sole ProprietorYes
Enumeration DateFebruary 22, 2022
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1952057622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in PA · CW025729✔ Licensed in NJ · 44SC06680600
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19803 (PA)
100 S BROAD ST STE 2230, Philadelphia, PA 19110
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AWJW1 LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (484) 965-9529
DR. ELEAZAR C MORRIS M.D.
Anesthesiology
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669
DEARLO KENNEDY CLINICAL DIRECTOR
Counselor (Addiction (Substance Use Disorder))
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669
SOBRIETY NOW LLC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
100 S BROAD ST STE 2230
PHILADELPHIA, PA 19110
Philadelphia County (267) 704-9669

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 Kerry Fitzpatrick's NPI number?

The NPI number for Kerry Fitzpatrick is 1952057622. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Where is Kerry Fitzpatrick located?

Kerry Fitzpatrick practices at 100 S Broad St Ste 2230, Philadelphia, PA 19110. The listed phone number is (267) 704-9669.

What is Kerry Fitzpatrick's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Fitzpatrick was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.