Provider Demographics
NPI:1093592313
Name:FITZPATRICK, LILY (LMSW)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W 15TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6701
Mailing Address - Country:US
Mailing Address - Phone:212-924-6320
Mailing Address - Fax:646-306-0513
Practice Address - Street 1:145 W 15TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6701
Practice Address - Country:US
Practice Address - Phone:212-229-6905
Practice Address - Fax:646-477-4094
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2025-09-08
Deactivation Date:2025-08-07
Deactivation Code:
Reactivation Date:2025-08-26
Provider Licenses
StateLicense IDTaxonomies
NY128103104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker