MARY FORTMAN


Address: 915 Sheridan St Ste B103, Port Townsend, WA 98368-2931
Phone: 3603854848

MARY FORTMAN (NPI# 1154820892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 915 SHERIDAN ST STE B103
City PORT TOWNSEND
State WA
Zip Code 98368-2931

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PORT TOWNSEND
Zip Code 98368

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Dataset Information

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.

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