Brooke Fortenberry, LCSW
Social Worker, Clinical in Orange, Connecticut
1700415379- Practice location
- 240 Indian River RD Ste C, Orange, CT 06477-3649
- Phone
- 203-497-3867
- Fax
- 203-298-0494
- Last updated
- April 6, 2020
Brooke Fortenberry is a Social Worker, Clinical based in Orange, CT. Brooke Fortenberry practices in Orange, CT and has the professional credentials of LCSW. The NPI Number for Brooke Fortenberry is 1700415379 and holds a License No. 11002 (CT). The current practice location address for Brooke Fortenberry is 240 Indian River RD Ste C, Orange, CT 06477-3649 and can be reached out via phone at 203-497-3867 and via fax at 203-298-0494.
Provider Profile Details
- NPI Number
- 1700415379
- Provider Name
- Brooke Fortenberry
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 240 Indian River RD Ste C, Orange, CT 06477-3649
- Phone Number
- 203-497-3867
- Fax Number
- 203-298-0494
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 6, 2020
- Last Update Date
- April 6, 2020
- Certification Date
- April 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 Indian River RD Ste C
Orange, CT 06477-3649 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3649
- Phone Number
- 203-497-3867
- Fax Number
- 203-298-0494
Provider Business Mailing Address Details
- Address
- 240 Indian River RD Ste C
Orange, CT 06477-3649 - City
- Orange
- State
- CT
- Zip
- 06477-3649
- Phone Number
- 203-497-3867
- Fax Number
- 203-298-0494
License Information
- License Number
- 11002
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brooke Fortenberry, LCSW?
The NPI number of Brooke Fortenberry, LCSW is 1700415379. It was assigned on April 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Brooke Fortenberry, LCSW?
Brooke Fortenberry, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11002.
Where does Brooke Fortenberry, LCSW practice?
The practice location is 240 Indian River RD Ste C, Orange, CT 06477-3649. The office can be reached at 203-497-3867 (phone) or 203-298-0494 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700415379 directly on the NPPES registry website.