Dolores R Fortson, MSW. CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163220 Issued in OH

Practice address

2532 E 86TH St
Cleveland, OH 44104-2244

Phone

(216) 456-6957

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1083176531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 QUINCY AVE APT 2139",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441041244",
            "telephone_number": "216-235-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 E 86TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441042244",
            "telephone_number": "216-456-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTSON",
        "first_name": "DOLORES",
        "middle_name": "R",
        "credential": "MSW. CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luc Fortier, MD
• Angela Fortkamp, RPH
• Daniel Thomas Fortney, MD
• Carol Fortson-Williams
• Benjamin Leonard Fortson, M.D.
• Katherine Elizabeth Fortuna, DPT
• Suzanne Marie Fortuna, CNP
• Lindsey Faye Forur, M.D.
• Joseph F Foss, MD
• Laura Foss, CNNP

• All providers in Cleveland, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.