Individual provider · Type 1 NPI

Michelle Dawn Fortuna, LMSW

Clinical Social Worker · Caledonia, MI

NPI number 1497547160 Active

Practice location

6505 Cherry Meadow Dr SE
Caledonia, MI 49316-9484

Mailing address

Pine Rest Christian Mental Health Services, 300 68th Street SE
Grand Rapids, MI 49548

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801088857 (MI)

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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About NPI 1497547160

Michelle Dawn Fortuna, LMSW's National Provider Identifier is 1497547160, issued on May 20, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Caledonia, MI. The record was last updated on May 20, 2025.