Doctor Name: | MRS. DIANE FITZGERALD-LOCKWOOD |
NPI Number: | 1376678730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 270 John Downey Dr New Britain, CT - 060512906 |
Business Phone Number: | 8602394830 |
Business Fax Number: | 8608268701 |
Mailing Address: | 125 Whiting Street, NEW BRITAIN |
State: | CT |
Postal Code: | 06053 |
Phone Number: | 8602394830 |
Fax Number: | 8608268701 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |