LEE ANN FORTSON (NPI# 1720284490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720284490 |
| Entity Type | Individual |
| Full Name | LEE ANN FORTSON |
| Credential | LCSW |
| Practice Address |
2215 E Oak St Ste 1 Conway AR 72032-4644 |
| Practice Telephone | 5013360511 |
| Practice Fax Number | 5013364037 |
| Mailing Telephone | 5013360511 |
| Mailing Fax Number | 5013364037 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2079-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
2215 E OAK ST STE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801288741 | Joe Nathan Bryant Iv | Case Manager/Care Coordinator | 2215 E Oak St, Ste 1, Conway, AR 72032-4644 | 2015-03-02 |
| 1609149962 | Angela Keaton | Case Manager/Care Coordinator | 2215 E Oak St, Ste 1, Conway, AR 72032-4644 | 2012-02-17 |
| 1770710774 | Gretchan N West | Social Worker | 2215 E Oak St, Conway, AR 72032-4644 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1518444843 | Face2face Therapy LLC | Social Worker | 603 Harkrider St, Conway, AR 72032-5633 | 2018-07-19 |
| 1396247300 | Lindsey Brooke Mcfarland | Social Worker | 1809 Ambridge Dr, Conway, SC 29527-6270 | 2018-03-06 |
| 1194129726 | Gretchen Davidson | Social Worker | 90 Odell Hill Rd, Conway, NH 03818-4401 | 2014-10-10 |
| 1215201470 | Lakeysa Marie Johnson | Social Worker | 314a Laurel St, Conway, SC 29526-5157 | 2012-03-05 |
| 1578837100 | Christianne Hilburn | Social Worker | 1660 Amelia Dr, Conway, AR 72034-3348 | 2012-02-29 |
| 1972899052 | Candace Baker | Social Worker | 2223 Washington Ave Ste C, Conway, AR 72032-2765 | 2011-06-27 |
| 1114233889 | Bambi Marie Parks | Social Worker | 855 South German Lane Suite 3, Conway, AR 72034 | 2010-08-19 |
| 1366691180 | Brandi D Rodgers | Social Worker | 21 Macarthur Dr, Conway, AR 72032-4510 | 2008-09-17 |
| 1952584591 | Angela J Pack | Social Worker | 16 Pinecrest Ct, Conway, AR 72032-8866 | 2007-12-05 |
| 1174741482 | Gail Renee Marlowe | Social Worker | 800 Legion St Ste 101e, Conway, SC 29526-4825 | 2007-04-23 |
| Find all providers in CONWAY | ||||
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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.