JESSICA ELIZABETH FORTIN (NPI# 1184107450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184107450 |
| Entity Type | Individual |
| Full Name | JESSICA ELIZABETH FORTIN |
| Credential | LICSW |
| Practice Address |
1 Administration Rd Bridgewater MA 02324-3230 |
| Practice Telephone | 5086145206 |
| Mailing Telephone | 5086145206 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
116833 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639669260 | Jessica Fortin | Family Medicine | 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816-5242 | 2018-05-18 |
| 1669979670 | Jessica Fortin | Registered Nurse | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-04-07 |
| 1841674967 | Jessica Fortin | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2015-07-18 |
| Street Address |
1 ADMINISTRATION RD |
| City | BRIDGEWATER |
| State | MA |
| Zip Code | 02324-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336292630 | Johanna Shaw | Psychiatry & Neurology | 1 Administration Rd, Hsu - Occc, Bridgewater, MA 02324-3230 | 2007-01-19 |
| 1346723673 | Chelsea Renee Pilling | Social Worker | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2018-09-12 |
| 1952882110 | Rebecca Andra Penney | Social Worker | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2018-08-27 |
| 1003394859 | Mary Elizabeth Fortune | Social Worker | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2018-08-03 |
| 1629556394 | Miriam Rosnes Silverstone | Social Worker | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2018-08-03 |
| 1356832786 | Bethany Lee Wolfert | Registered Nurse | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2018-05-22 |
| 1700254265 | Despina Kiely | Nurse Practitioner | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2015-09-14 |
| 1518373968 | Joseph Toomey | Psychologist | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2014-07-07 |
| 1730512963 | Heather Farmer | Nurse Practitioner | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2013-08-12 |
| 1952683682 | Jennifer Rodi | Counselor | 1 Administration Rd, Bridgewater, MA 02324-3230 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985176 | Heidi S Bonito | Counselor | 33 Indian Ridge, Bridgewater, MA 02324 | 2018-09-13 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1750832861 | Isandra Andrade | Behavior Technician | 30 Easy Street, Bridgewater, MA 02324 | 2016-10-24 |
| 1639570435 | Joanne Mccarthy | Counselor | 792 Plymouth Street, Bridgewater, MA 02324 | 2014-09-11 |
| 1932530011 | Michelle Courcy | Registered Nurse | 796 Pleasant Street, Bridgewater, MA 02324 | 2013-11-27 |
| 1750664942 | Richard Arthur Cannizzo Jr. | Pharmacist | 4 Central Square, Walgreens Pharmacy, Bridgewater, MA 02324 | 2011-09-23 |
| 1164714481 | Cslee, Dmd,mmsc,pllc | Dentist | 555 Bedford St, Unit 3, Bridgewater, MA 02324 | 2011-05-04 |
| 1790097228 | Amy B Mills | Pharmacist | 233 Broad Street, Bridgewater, MA 02324 | 2010-07-13 |
| 1720304157 | Kathleen Marie Weygand | Behavioral Analyst | 215 Boxwood Lane, Bridgewater, MA 02324 | 2010-04-09 |
| 1548585078 | Jhilam Biswas | Psychiatry & Neurology | 20 Admin Rd, Bridgewater, MA 02324 | 2010-03-27 |
| Find all providers in zip 02324 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1831653203 | Joel Andrade | Social Worker | 12 Beechwood Cir, Bridgewater, MA 02324-1240 | 2019-01-30 |
| 1083194583 | Maryanne Natale | Social Worker | 708 Pleasant St, Bridgewater, MA 02324-2350 | 2018-08-15 |
| 1558849109 | Barbara Madore | Social Worker | 40 Woodland Dr, Bridgewater, MA 02324-2372 | 2018-08-04 |
| 1942787163 | Chrisann Boucher | Social Worker | 3 Anacki Ln, Bridgewater, MA 02324-3186 | 2018-07-20 |
| 1730687898 | Melissa Sue Crownover | Social Worker | 1 Lakeshore Ctr, Bridgewater, MA 02324-1065 | 2018-01-24 |
| 1962900118 | Carol Masshardt | Social Worker | 95 Burrill Ave, Bridgewater, MA 02325-0001 | 2018-01-23 |
| 1881134195 | Kristina Gardiner | Social Worker | 250 Summer St, Bridgewater, MA 02324-2619 | 2017-03-06 |
| 1538520697 | Brandon Rauchbach | Social Worker | 1884 Mountain Top Rd, Bridgewater, NJ 08807-2318 | 2016-03-16 |
| 1366865586 | Jessie Elizabeth Turlik | Social Worker | 1905 Doolittle Dr, Bridgewater, NJ 08807-7032 | 2014-01-23 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 02324 |
Please comment or provide details below to improve the information on JESSICA ELIZABETH FORTIN.
| 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.