DESTINY FITZPATRICK – Social Worker, NPI 1255820155

DESTINY FITZPATRICK is a healthcare provider. based in Mount dora, Florida. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801104515 (MI). The NPI Number for DESTINY FITZPATRICK is 1255820155

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DESTINY FITZPATRICK
NPI
1255820155
Phone
Not provided
Address
17435 US HIGHWAY 441 STE 101
Enumeration Date
7 May 2018
Last Update Date
22 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174812133
Graduation Year
2019 (7 years ago)
PAC ID
2668828294
Group Practice PAC ID
2567607062
Professional Enrollment ID
I20231102000469
Address ID
MI488235385EA4572XRDXX444
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for DESTINY FITZPATRICK

  • 17435 US HIGHWAY 441 STE 101

    MOUNT DORA, FL 327576750

    Phone:

    Type: Mailing

  • 609, Davenport Avenue, Northmoor, Saginaw, Saginaw County, Michigan, 48602, United States

    SAGINAW, MI 486025616

    Phone: (989) 890-5066

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231102000469IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32757)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567607062View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Where can patients find DESTINY FITZPATRICK's NPI?
You can confirm DESTINY FITZPATRICK with NPI 1255820155; it appears in the national provider directory.
Is DESTINY FITZPATRICK active in the national directory?
DESTINY FITZPATRICK's public NPI profile is in an active state.
What field does DESTINY FITZPATRICK work in?
You can think of DESTINY FITZPATRICK as practicing within Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for DESTINY FITZPATRICK?
The page summarizes Mount Dora, Florida for DESTINY FITZPATRICK; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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