Carol G. Fortune, LICSW
NPI 1578673083ActiveIndividual· Social Worker, Clinical· Lady Lake, FL
Social Worker, Clinical (LICSW) in Lady Lake, Florida, licensed in FL and MA, with an NPI issued in August 2006. Medicare paid $8,701 for services to 27 patients in 2024.
Overview
| NPI | 1578673083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW8072 | FL |
| Social Worker, Clinical | 1041C0700X | 103065 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 166 across 4 procedure codes |
| Paid by Medicare | $8,701 |
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