DAWN M FORTICH (NPI# 1205277977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205277977 |
| Entity Type | Individual |
| Full Name | DAWN M FORTICH |
| Credential | LCSW |
| Practice Address |
194 Market Place Blvd Knoxville TN 37922 |
| Mailing Address |
Po Box 31569 Knoxville TN 37930-1569 |
| Practice Telephone | 8652126600 |
| Practice Fax Number | 8653132149 |
| Mailing Telephone | 8652126600 |
| Mailing Fax Number | 8653132149 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000004990 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1533131 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5908 Toole Dr, Suite A, Knoxville, TN 379194124 | 8656941664 | 6265441629 |
| Street Address |
194 MARKET PLACE BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| 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 |
|---|---|---|---|---|
| 1891334397 | Melissa Kay Schenkel | Social Worker | 1239 Eiker Rd, Knoxville, IL 61448-9670 | 2019-12-31 |
| 1013555770 | Carla L Jackson | Social Worker | 3518 Tupelo Way, Knoxville, TN 37912-4885 | 2019-12-12 |
| 1619514262 | Stephanie Demay | Social Worker | 3330 Sutherland Ave, Knoxville, TN 37919-4544 | 2019-12-03 |
| 1861956203 | Sarah Mcnamara | Social Worker | 117 Huxley Rd Ste B-3, Knoxville, TN 37922-3179 | 2019-01-30 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1194231142 | Tiffany Lynn Ferree | Social Worker | 12201 W Kings Gate Rd, Knoxville, TN 37934-4631 | 2017-12-28 |
| 1932613940 | Hannah Snelling | Social Worker | 114 Dameron Ave, Knoxville, TN 37917-6435 | 2017-11-29 |
| 1508376120 | Robyn Amanda Summers | Social Worker | 10023 Dayflower Way, Knoxville, TN 37932-1697 | 2017-10-10 |
| 1952820896 | Balanced Solutions Pllc | Social Worker | 110 Perimeter Park Rd Ste H, Knoxville, TN 37922-2200 | 2017-09-12 |
| 1861866279 | Jennifer J Smith | Social Worker | 2210 Sutherland Ave Ste 115, Knoxville, TN 37919-2337 | 2015-11-23 |
| Find all providers in KNOXVILLE | ||||
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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.