HOLLIE FORTMAN (NPI# 1043685746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043685746 |
| Entity Type | Individual |
| Full Name | HOLLIE FORTMAN |
| Practice Address |
6255 Telegraph Rd Lot 209 Erie MI 48133-9440 |
| Practice Telephone | 9714006364 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S1502385 | OH | Behavioral Health & Social Service Providers |
| Street Address |
6255 TELEGRAPH RD LOT 209 |
| City | ERIE |
| State | MI |
| Zip Code | 48133-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189227 | Kathleen Ann Mehl | Licensed Practical Nurse | 10100 Bay Creek Rd, Erie, MI 48133-9304 | 2019-02-03 |
| 1356524102 | Janet Lynn Lee | Registered Nurse | 2151 E Erie Rd, Erie, MI 48133-9320 | 2007-12-14 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1326384835 | Brenda Kay Lake | Registered Nurse | 3717 Bay Rd, Erie, MI 48133-9404 | 2013-01-02 |
| 1184978199 | Shannon Reese | Home Health Aide | 3050 Morin Point St, Erie, MI 48133-9685 | 2012-10-30 |
| 1386885044 | Angel's Secret Transportation | Non-emergency Medical Transport (VAN) | 10335 Keeney St, Erie, MI 48133-9787 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1629677190 | Brittany Adele Labauve | Massage Therapist | 1396 Flannagan Ct, Erie, CO 80516-6941 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1952918104 | Flagship Functional Medicine | Clinic/Center | 2501 Palermo Dr Ste A, Erie, PA 16506-7210 | 2020-09-30 |
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1265049282 | Jacquelyn D'amico | Registered Nurse | 8814 Ennis Dr, Erie, PA 16509-5004 | 2020-09-24 |
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| Find all providers in ERIE | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1760958839 | Aaron Joseph Hart | Social Worker | 1001 State St Ste 1300, Erie, PA 16501-1832 | 2018-10-16 |
| 1710476783 | Kamie Ann Laih | Social Worker | 630 Young Rd Apt 7, Erie, PA 16509-3180 | 2018-05-05 |
| 1518455922 | Melissa Linville-thatcher | Social Worker | 2564 W 12th St, Erie, PA 16505-4528 | 2018-05-01 |
| 1669986956 | Gregory John Purchase | Social Worker | 2221 Peninsula Dr Ste 105, Erie, PA 16506-2954 | 2017-11-22 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1770036055 | Erica Ferraro | Social Worker | 2700 W 21st St Ste 27, Erie, PA 16506-2972 | 2016-08-03 |
| 1356760607 | Judi Collard | Social Worker | 2208 Buttercup St, Erie, CO 80516-4053 | 2014-04-15 |
| 1356764401 | Joseph Cullers | Social Worker | 809 W 26th St Ste 2, Erie, PA 16508-3205 | 2014-01-27 |
| Find all providers in ERIE | ||||
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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.