Brooke Fortenberry, LCSW
NPI 1700415379ActiveIndividual· Social Worker, Clinical· Orange, CT
Social Worker, Clinical (LCSW) in Orange, Connecticut, licensed in CT, with an NPI issued in April 2020. Medicare paid $21,950 for services to 89 patients in 2024.
Overview
| NPI | 1700415379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 6, 2020 |
| Last updated in NPPES | Apr 6, 2020 |
| Certified by provider | Apr 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 11002 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 378 across 4 procedure codes |
| Paid by Medicare | $21,950 |
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