Iris Emily Fortune, LCSWC is a
Social Worker - Clinical based in Baltimore, Maryland. Iris Emily Fortune is licensed to practice in Maryland (license number 04078) and her current practice location is
5900 York Rd Ste 201, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 563-1021.
NPI number for Iris Emily Fortune is 1376115733 and her current mailing address is 5900 York Rd Ste 201, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376115733.
Healthcare Provider's Profile
Full Name | Iris Emily Fortune |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5900 York Rd Ste 201, Baltimore, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376115733
- Provider Enumeration Date: 07/14/2021
- Last Update Date: 07/14/2021
Medical Identifiers
Medical identifiers for Iris Emily Fortune such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376115733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA142 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 04078 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Iris Emily Fortune is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Iris Emily Fortune, LCSWC 5900 York Rd Ste 201, Baltimore, MD 21212-3097 Ph: (443) 563-1021 | Iris Emily Fortune, LCSWC 5900 York Rd Ste 201, Baltimore, MD 21212-3097 Ph: (443) 563-1021 |
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