Alison Jane Fortune, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069350-1 Issued in NY

Practice address

22 Trues Dr
West Islip, NY 11795-5139

Phone

(917) 299-1112

NPI assigned

Feb 3, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 31, 2023 through Jul 31, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359849600000",
    "number": "1063751659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TRUES DR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117955139",
            "telephone_number": "917-299-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TRUES DR",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117955139",
            "telephone_number": "917-299-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "ALISON",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Marie Fitzgerald, PA-C
• Margaret Fiumano, M.D.
• Thomas F Florez, AGNP
• Maria Marykate Florian, LMSW
• Jessica Marie Foos
• Sarah Frampton, RD, CDN
• Toni Francavilla - Klingler, PSY. D.
• John W Francfort, M D
• Carl David Franckowski
• Nicholas Frangella, DO

• All providers in West Islip, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.