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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CAROL G FORTUNE, LICSW

Active Sole Proprietor

MRS. CAROL G FORTUNE, LICSW is a Clinical Social Worker healthcare provider located in LADY LAKE, Florida. NPI 1578673083 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LADY LAKE, FL

Registration Details

NPI Number
1578673083
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2006 (19.922611408646 yrs)
Last Updated
Jul 8, 2007
Licenses
SW8072 (FL)
103065 (MA)
Sole Proprietor
Yes

Practice Information

Address
1522 GOLDEN RIDGE DR
LADY LAKE, FL, 321626765
Browse FL providers · Browse ZIP 32162
Phone
3526382264
Fax
3522594050
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in LADY LAKE, FL

Name Credential NPI
MS. MICHELE ANN LUTZ LCSW 1245423730
MS. MARCIA WILK LCSW 1538489307
MS. JULIE LOUISE STONEHAM LCSW 1114279684
BARBARA CONRAD LCSW 1346800364
DAWN R PEREZ LCSW 1053995241
ERIKA CHARRELL ALBERTIE-YOUNG LCSW 1508530668
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.