Individual provider · Type 1 NPI
Mary Fortman, MSW
Clinical Social Worker · Port Townsend, WA
Practice location
915 Sheridan St Ste B103
Port Townsend, WA 98368-2931
Mailing address
834 Sheridan St
Port Townsend, WA 98368-2443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: 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 interpers…
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- Gregory V. Deklever, LICSWClinical Social Worker Port Townsend, WA NPI 1285286500
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About NPI 1154820892
Mary Fortman, MSW's National Provider Identifier is 1154820892, issued on Feb 8, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Townsend, WA. The record was last updated on Feb 9, 2018.