MARY FORTMAN (NPI# 1154820892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154820892 |
Entity Type | Individual |
Full Name | MARY FORTMAN |
Credential | MSW |
Practice Address |
915 Sheridan St Ste B103 Port Townsend WA 98368-2931 |
Mailing Address |
834 Sheridan St Port Townsend WA 98368-2443 |
Practice Telephone | 3603854848 |
Enumeration Date | 2018-02-08 |
Last Update Date | 2018-02-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Street Address |
915 SHERIDAN ST STE B103 |
City | PORT TOWNSEND |
State | WA |
Zip Code | 98368-2931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
Find all providers in zip 98368 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669858601 | Kolby Mertz Gambill | Social Worker | 1136 Water St Ste 102, Port Townsend, WA 98368-6728 | 2015-07-31 |
1275728511 | Sara Smithson | Social Worker | 237 Taylor St Unit 2, Port Townsend, WA 98368-5766 | 2007-09-10 |
1376613364 | Anita Elaine Martina Abba Richard | Social Worker | 1505 Hancock St, Lighthouse Co Center, Port Townsend, WA 98368 | 2006-11-08 |
1750481354 | Shannonn Marie Tierney | Social Worker | 530 19th St, Port Townsend, WA 98368-6007 | 2006-09-23 |
1487117057 | Nebari Counseling Pllc | Social Worker | 1136 Water St Ste 102, Port Townsend, WA 98368-6728 | 2019-04-10 |
1164558383 | Annemarie Mende | Social Worker | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2007-02-23 |
1003977463 | Jill M Paulk | Social Worker | 884 West Park Avenue, Port Townsend, WA 98368 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
1811597826 | Leika Baquiran | Social Worker | 33301 1st Way S # C-140, Federal Way, WA 98003-6252 | 2020-10-28 |
1093315228 | Yaffa Cohen | Social Worker | 4574 187th Pl Se, Issaquah, WA 98027-9731 | 2020-10-27 |
1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
1730786252 | Alexandra Elias Sharman | Social Worker | 5735 91st Ave Se, Mercer Island, WA 98040-5032 | 2020-10-07 |
1639786262 | Charina Carothers | Social Worker | 631 S Richard Allen Ct Ste 104, Spokane, WA 99202-2345 | 2020-09-28 |
1700493806 | Alisa M Mattiazzi | Social Worker | 10006 100th Ave Sw, Lakewood, WA 98498-3124 | 2020-09-23 |
Find all providers with the same taxonomy |
City | PORT TOWNSEND |
Zip Code | 98368 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.