Mrs Carol G Fortune, LICSW | |
1522 Golden Ridge Dr, Lady Lake, FL 32162-6765 | |
(352) 638-2264 | |
(352) 259-4050 |
Full Name | Mrs Carol G Fortune |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 57 Years |
Location | 1522 Golden Ridge Dr, Lady Lake, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578673083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW8072 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | 103065 (Massachusetts) | Secondary |
Entity Name | Carol G. Fortune Lcsw Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295292472 PECOS PAC ID: 2264771575 Enrollment ID: O20190305000622 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carol G Fortune, LICSW 1522 Golden Ridge Dr, Lady Lake, FL 32162-6765 Ph: (352) 638-2264 | Mrs Carol G Fortune, LICSW 1522 Golden Ridge Dr, Lady Lake, FL 32162-6765 Ph: (352) 638-2264 |
Dawn R Perez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 993 Us Hwy 27/441, Lady Lake, FL 32159 Phone: 352-445-1200 | |
Ms. Julie Louise Stoneham, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13940 N Us Highway 441 Ste 210, Lady Lake, FL 32159 Phone: 352-374-3222 Fax: 352-268-1168 | |
Ms. Michele Ann Lutz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Highland Trl, Lady Lake, FL 32159 Phone: 352-391-1601 | |
Barbara Conrad, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 906 Orchid Street, Lady Lake, FL 32159 Phone: 516-395-1555 | |
Ms. Marcia Wilk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Skyline Dr, Lady Lake, FL 32159 Phone: 352-259-6011 Fax: 352-259-6545 |